Organization
REYNALDO P BADUYA SR.,DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVETTE RAMIREZ OM (OFFICE MANAGER)
(401) 941-2600
Entity
Organization
Contact information
Practice address
252 ADELAIDE AVENUE, PROVIDENCE, RI 02907
(401) 941-2600
(401) 941-2600
Mailing address
252 ADELAIDE AVENUE, PROVIDENCE, RI 02907
(401) 941-2600
(401) 941-2695
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2491
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RB33847
—
RI
Enumeration date
04/18/2011
Last updated
04/18/2011
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