Individual
DANIEL BOATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 456-4461
Mailing address
1013 BURNET AVE, UNION, NJ 07083-5610
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS044467
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
RI
Other
Enumeration date
04/01/2022
Last updated
06/21/2024
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