Individual
DR. USMAN SIBTAIN FAZLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1090 CRANSTON ST, CRANSTON, RI 02920-7323
(401) 943-1981
(401) 943-2846
Mailing address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
(401) 467-9030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN02946
RI
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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