Organization
FACIAL AND ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY ALMONTE (BILLING MANAGER)
(401) 739-5500
Entity
Organization
Contact information
Practice address
243 JEFFERSON BLVD, WARWICK, RI 02888-3818
(401) 739-5500
(401) 738-1550
Mailing address
243 JEFFERSON BLVD, WARWICK, RI 02888-3818
(401) 739-5500
(401) 738-1550
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2741
RI
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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