Individual
INESA TSHAGHARYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
747 VICTORY HWY, NORTH SMITHFIELD, RI 02896-7713
(401) 766-2800
Mailing address
96 PHENIX AVE, CRANSTON, RI 02920-4223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03563
RI
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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