Organization
MELLION & CAPPUCCINO, INC.
Active
Other names
Endodontic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSTANCE M LALIBERTE (BUSINESS MANAGER)
(401) 732-5454
Entity
Organization
Contact information
Practice address
265 JEFFERSON BLVD, WARWICK, RI 02888-3823
(401) 732-5454
(401) 738-5173
Mailing address
265 JEFFERSON BLVD, WARWICK, RI 02888-3823
(401) 732-5454
(401) 738-5173
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1677
RI
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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