Individual
PAUL E BAZZONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1750 MAIN RD, TIVERTON, RI 02878-4538
(401) 624-2375
Mailing address
1750 MAIN RD, TIVERTON, RI 02878-4538
(401) 624-2375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RI1864
RI
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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