Individual
ASIF E. RANGOONWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
335R PRAIRIE AVE, PROVIDENCE, RI 02905-2426
(401) 444-0430
(401) 444-0489
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 780-2565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03566
RI
122300000X
Dentist
DN1858835
MA
Other
Enumeration date
09/30/2020
Last updated
10/13/2021
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