Organization
DENTAL GROUP OF PAWTUCKET
Active
Other names
DMD Dental of Pawtucket
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ V DULALA B.D.S., D.M.D. (OWNER)
(401) 722-3344
Entity
Organization
Contact information
Practice address
1571 NEWPORT AVE, SUITE 2, PAWTUCKET, RI 02861-1351
(401) 722-3344
(401) 725-9755
Mailing address
1571 NEWPORT AVE, SUITE 2, PAWTUCKET, RI 02861-1351
(401) 722-3344
(401) 725-9755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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