Organization
PAOLUCCI LINCOLN DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LOUIS PAOLUCCI (DENTIST)
(401) 333-5500
Entity
Organization
Contact information
Practice address
6 BLACKSTONE VALLEY PL, SUITE 306A, LINCOLN, RI 02865-1179
(401) 333-5500
Mailing address
6 BLACKSTONE VALLEY PL, SUITE 306A, LINCOLN, RI 02865-1179
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
DEN03270
RI
320800000X
Mental Illness Community Based Residential Treatment Facility
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Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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