Individual
MICHAEL J DORVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 FRONT ST, WOONSOCKET, RI 02895-5287
(401) 769-4263
Mailing address
160 MORSE AVE, WARWICK, RI 02886-2324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT01868
RI
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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