Organization
SHAGHALIAN FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN W SHAGHALIAN DMD (DENTIST/OWNER)
(401) 438-4964
Entity
Organization
Contact information
Practice address
1002 PAWTUCKET AVE, RUMFORD, RI 02916-1704
(401) 438-4964
(401) 434-6021
Mailing address
1002 PAWTUCKET AVE, RUMFORD, RI 02916-1704
(401) 438-4964
(401) 434-6021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN02886
RI
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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