Organization
AMERICAN CENTER FOR BIOREGULATORY MEDICINE AND DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE FORTES-WILLIAMS NURSE (PRACTICE MANAGER)
(401) 270-1177
Entity
Organization
Contact information
Practice address
111 CHESTNUT ST STE 1, PROVIDENCE, RI 02903-4169
(833) 824-6633
Mailing address
111 CHESTNUT ST STE 1, PROVIDENCE, RI 02903-4169
(833) 824-6633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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