Individual
DR. EGLANTINA KICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
388 ARMISTICE BLVD, PAWTUCKET, RI 02861-2452
(401) 725-0555
Mailing address
388 ARMISTICE BLVD, PAWTUCKET, RI 02861-2452
(401) 725-0555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2669
RI
Other
Enumeration date
12/24/2006
Last updated
07/08/2007
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