Organization
CRANSTON ASTHETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFFI MERJIK (OWNER)
(401) 942-0270
Entity
Organization
Contact information
Practice address
770 RESERVOIR AVE, CRANSTON, RI 02910-4449
(401) 942-0270
(401) 464-9667
Mailing address
770 RESERVOIR AVE, CRANSTON, RI 02910-4449
(401) 942-0270
(401) 464-9667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03196
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508154642
INDIVIDUAL NPI
RI
01
—
1568515655
INDIVIDUAL NPI
RI
Enumeration date
07/26/2014
Last updated
07/26/2014
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