Individual
KENNETH J RAWLINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2861 PAWTUCKET AVE, RIVERSIDE, RI 02915-4939
(401) 434-1334
Mailing address
2861 PAWTUCKET AVE, RIVERSIDE, RI 02915-4939
(401) 434-1334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RI02559
RI
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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