Individual
MS. FOTINI DIONISOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1090 NEW LONDON AVENUE, CRANSTON, RI 02920
(401) 943-7535
(401) 463-5693
Mailing address
5 BAYBERRY COURT, LINCOLN, RI 02865
(401) 943-7535
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
02845
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD-00250
—
RI
Enumeration date
10/05/2006
Last updated
07/09/2007
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