Organization
RHODE ISLAND FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN L RODRICK (PRESIDENT)
40145021277
Entity
Organization
Contact information
Practice address
465 RESERVOIR AVE, CRANSTON, RI 02910-1728
(401) 450-2177
Mailing address
465 RESERVOIR AVE, CRANSTON, RI 02910-1728
(401) 450-2177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03092
RI
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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