Organization
DENTAL GROUP OF WAKEFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BRIAN CAPALBO DMD (OWNER)
(401) 789-9718
Entity
Organization
Contact information
Practice address
26 SOUTH COUNTY COMMONS, DENTAL GROUP OF WAKEFIELD LLC, WAKEFIELD, RI 02880
(401) 789-9718
Mailing address
26 SOUTH COUNTY COMMONS WAY, DENTAL GROUP OF WAKEFIELD LLC, WAKEFIELD, RI 02880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2931
RI
122300000X
Dentist
2981
RI
Other
Enumeration date
07/19/2011
Last updated
07/20/2011
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