Individual
JAN R CERVENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2212 POST ROAD, WARWICK, RI 02886
(401) 737-5555
(401) 738-6649
Mailing address
2212 POST ROAD, WARWICK, RI 02886
(401) 737-5555
(401) 738-6649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2564
RI
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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