Individual
DR. ANTHONY THOMAS CORREIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2441 PAWTUCKET AVE, EAST PROVIDENCE, RI 02914-2915
(401) 438-4985
Mailing address
2441 PAWTUCKET AVE, EAST PROVIDENCE, RI 02914-2915
(401) 438-4985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1713
RI
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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