Organization
MARK S. BICHAJIAN, DMD, INC.
Active
Other names
Professional Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNE SCHIAVULLI (OFFICE MANAGER)
(401) 785-2111
Entity
Organization
Contact information
Practice address
708 WARWICK AVE, WARWICK, RI 02888-2670
(401) 785-2111
(401) 941-1547
Mailing address
708 WARWICK AVE, WARWICK, RI 02888-2670
(401) 785-2111
(401) 941-1547
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PD00610
MEDICAL ASSISTANCE
RI
Enumeration date
10/25/2006
Last updated
03/30/2016
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