Organization
RESERVOIR DENTAL LLC
Active
Other names
Reservoir Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLAD BOTEZATU DMD (DENTIST)
(401) 400-8868
Entity
Organization
Contact information
Practice address
725 RESERVOIR AVE STE 304, CRANSTON, RI 02910-4452
(401) 400-8868
(401) 406-2710
Mailing address
725 RESERVOIR AVE STE 304, CRANSTON, RI 02910-4452
(401) 400-8868
(401) 406-2710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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