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Organization

DENTURE REPAIR LAB CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA FREEMAN (MANAGER)
(401) 725-5777
Entity
Organization

Contact information

Practice address
541 NEWPORT AVE, PAWTUCKET, RI 02861-3624
(401) 725-5777
Mailing address
541 NEWPORT AVE, PAWTUCKET, RI 02861-3624
(401) 725-5777

Taxonomy

Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary

Other

Enumeration date
01/27/2023
Last updated
01/27/2023
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