Organization
KOBAD B MALESRA DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOBAD MALESRA DDS (DENTIST)
(401) 946-1010
Entity
Organization
Contact information
Practice address
1370 CRANSTON ST, CRANSTON, RI 02920-6758
(401) 946-1010
Mailing address
1370 CRANSTON ST, CRANSTON, RI 02920-6758
(401) 946-1010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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