Individual
MELISSA A WEINTRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 PRAIRIE AVE, PROVIDENCE, RI 02905-2426
(401) 444-0430
(401) 444-0489
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21227
MA
1223G0001X
General Practice Dentistry
Primary
DEN03007
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208868
—
MA
05
—
30303535
—
NH
Enumeration date
01/05/2007
Last updated
08/03/2016
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