Organization
RESOLUTE WELLS STREET
Active
Other names
Rebecca J. Woodward D.M.D. and Adam S. Kaufman D.M.D. Family Dentistry, Westerly Dentists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY TOBACK DMD, MS (CEO)
(860) 776-6240
Entity
Organization
Contact information
Practice address
11 WELLS ST STE 4&5, WESTERLY, RI 02891-2959
(401) 596-0888
Mailing address
190 HEMPSTEAD ST, NEW LONDON, CT 06320-6248
(860) 776-6240
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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