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Organization

WICKFORD ORTHODONTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STACI PALETTA D.M.D. (PARTNER)
(401) 295-2700
Entity
Organization

Contact information

Practice address
320 PHILLIPS ST, SUITE 202, NORTH KINGSTOWN, RI 02852-5149
(401) 295-2700
(401) 295-0008
Mailing address
320 PHILLIPS ST, SUITE 202, NORTH KINGSTOWN, RI 02852-5149
(401) 295-2700
(401) 295-0008

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
07/23/2007
Last updated
07/23/2007
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