Individual
VIVIANNE J KHALIFE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1136 HARTFORD AVE, JOHNSTON, RI 02919-7111
(401) 521-3661
Mailing address
2 MANOR DR, FAIRHAVEN, MA 02719-4600
(774) 688-9226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN02898
RI
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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