Organization
BEACHCREST DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE CHARLES MACKINNON D.D.S. (PRESIDENT)
(401) 596-0075
Entity
Organization
Contact information
Practice address
88 BEACH ST, WESTERLY, RI 02891-2718
(401) 596-0075
(401) 596-0388
Mailing address
88 BEACH ST, WESTERLY, RI 02891-2718
(401) 596-0075
(401) 596-0388
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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