Individual
DR. JOSEPH CHARLES DISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 MAIN ST, WAKEFIELD, RI 02879-7407
(401) 789-8693
(401) 788-9438
Mailing address
390 MAIN ST, WAKEFIELD, RI 02879-7407
(401) 789-8693
(401) 788-9438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2640
RI
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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