Individual
SHIYUAN MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
130 GRANITE ST STE C, WESTERLY, RI 02891-2461
(401) 596-8720
Mailing address
130 GRANITE ST STE C, WESTERLY, RI 02891-2461
(401) 596-8720
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
13933
CT
1223P0221X
Pediatric Dentistry
Primary
DEN03671
RI
1223P0221X
Pediatric Dentistry
DEN2000475
DC
Other
Enumeration date
04/01/2021
Last updated
01/15/2025
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