Individual
DR. RAHUL DATAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
191 SOCIAL ST, WOONSOCKET, RI 02895-3240
(401) 767-4100
(401) 767-4165
Mailing address
191 SOCIAL STREET, THUNDERMIST HEALTH CENTER, WOONSOCKET, RI 02895-0000
(617) 669-3580
(401) 235-6899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN03072
RI
1223G0001X
General Practice Dentistry
Primary
4241
SC
Other
Enumeration date
09/21/2006
Last updated
06/02/2010
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