Individual
PRIYANK TANEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
557 BROAD ST, PROVIDENCE, RI 02907-1403
(401) 444-0430
(401) 444-0489
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN02942
RI
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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