Organization
JOSEPH L. DISANO D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH L DISANO D.M.D. (OWNER)
(401) 789-8693
Entity
Organization
Contact information
Practice address
390 MAIN ST, WAKEFIELD, RI 02879-7407
(401) 789-8693
(401) 788-9438
Mailing address
390 MAIN ST, WAKEFIELD, RI 02879-7407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1457
RI
122300000X
Dentist
2746
RI
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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