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Organization

YOUR PROFILE DENTAL, LLC

Active
Other names
Friends and Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY FERREIRA (OFFICE MANAGER)
(401) 228-3999
Entity
Organization

Contact information

Practice address
888 BROADWAY, EAST PROVIDENCE, RI 02914-3742
(401) 228-3999
(401) 228-3966
Mailing address
888 BROADWAY, EAST PROVIDENCE, RI 02914-3742
(401) 228-3999
(401) 228-3966

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/04/2020
Last updated
12/04/2020
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