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Organization

JOSEPH C. DISANO DDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH CHARLES DISANO DDS (DENTIST/OWNER)
(401) 783-1530
Entity
Organization

Contact information

Practice address
24 SALT POND RD, SUITE D1, WAKEFIELD, RI 02879-4314
(401) 783-1530
Mailing address
24 SALT POND RD, SUITE D1, WAKEFIELD, RI 02879-4314
(401) 783-1530

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2640
RI

Other

Enumeration date
04/26/2015
Last updated
04/26/2015
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