Individual
MANUELA TEIXEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 NEWPORT AVE, PAWTUCKET, RI 02861-4110
(401) 477-0707
Mailing address
176 NEWPORT AVE, PAWTUCKET, RI 02861-4110
(401) 477-0707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03690
RI
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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