Individual
BETHANY IRENE KRONBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1090 CRANSTON ST, CRANSTON, RI 02920-7323
(401) 942-4867
Mailing address
1090 CRANSTON ST, CRANSTON, RI 02920-7323
(401) 942-4867
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
58285
CA
1223P0700X
Prosthodontics
Primary
DEN03112
RI
Other
Enumeration date
06/21/2010
Last updated
10/04/2011
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