Individual
DR. JONATHAN MICHELSOHN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
795 PARK AVE, CRANSTON, RI 02910-2036
(401) 781-2212
(401) 461-3408
Mailing address
795 PARK AVE, CRANSTON, RI 02910-2036
(401) 781-2212
(401) 461-3408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2281
RI
Other
Enumeration date
12/15/2005
Last updated
07/08/2007
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