Individual
ERICA KLEINBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
167 GANO ST, PROVIDENCE, RI 02906-3808
(401) 274-2600
Mailing address
10 DALEBROOK CT, CANTON, MA 02021-2592
(914) 671-3141
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN1858348
MA
Other
Enumeration date
05/17/2019
Last updated
02/07/2024
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