Individual
DR. JOHN E DISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
390 MAIN ST, WAKEFIELD, RI 02879-7407
(401) 789-8693
(401) 788-9438
Mailing address
390 MAIN ST, WAKEFIELD, RI 02879-7407
(401) 789-8693
(401) 788-9438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2746
RI
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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