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NICOLE J PERIQUITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH PHDH

Contact information

Practice address
1522 ELMWOOD AVE, CRANSTON, RI 02910-3819
(401) 827-9939
Mailing address
1522 ELMWOOD AVE, CRANSTON, RI 02910-3819
(401) 827-9939

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PDH00038
RI

Other

Enumeration date
03/13/2023
Last updated
03/13/2023
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