Individual
DR. CRAIG A VANDONGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
372 IVES ST, PROVIDENCE, RI 02906-3929
(401) 831-3777
Mailing address
50 MOOSEHORN RD, EAST GREENWICH, RI 02818-1112
(401) 886-9955
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DEN02334
RI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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