Organization
ASCIOLLA FAMILY DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA J KORUS (OFFICE MANAGER)
(401) 884-5242
Entity
Organization
Contact information
Practice address
880 MAIN ST, EAST GREENWICH, RI 02818-3113
(401) 884-5242
(401) 884-9464
Mailing address
880 MAIN ST, EAST GREENWICH, RI 02818-3113
(401) 884-5242
(401) 884-9464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
02460
RI
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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