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Organization

MILLENIUM DENTAL INC.

Active
Other names
millenium dental inc., millenium dental inc, Millenium Dental, INC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CIELO R. DEAYALA (MANAGER)
(401) 942-5051
Entity
Organization

Contact information

Practice address
314F POCASSET AVE, PROVIDENCE, RI 02909-4828
(401) 942-5051
Mailing address
314F POCASSET AVE, PROVIDENCE, RI 02909-4828
(401) 942-5051

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN3080
RI

Other

Enumeration date
05/17/2018
Last updated
06/16/2018
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