Individual
DR. COSMO HARALAMBIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
59 PHENIX AVENUE, CRANSTON, RI 02920-4222
(401) 464-4999
(401) 464-8903
Mailing address
59 PHENIX AVENUE, CRANSTON, RI 02920
(401) 464-4999
(401) 464-8903
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
02666
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100-2666
DELTA DENTAL RI
RI
01
—
8135-3
BLUE CROSS DENTAL RI
RI
05
—
CH-28352
—
RI
01
—
RI0091
BLUE CROSS DENTAL MA
MA
Enumeration date
03/16/2007
Last updated
07/09/2007
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