Individual
DR. JEFFREY BRIAN MANSOLILLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1347 HARTFORD AVE, JOHNSTON, RI 02919
(401) 861-1080
(401) 861-5106
Mailing address
1347 HARTFORD AVE, JOHNSTON, RI 02919
(401) 861-1080
(401) 861-5106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2648
RI
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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