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Individual

DR. WAYNE B MOLLOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
251 QUAKER LN, WEST WARWICK, RI 02893-2121
(401) 822-3390
(401) 826-3060
Mailing address
PO BOX 29, HOPE, RI 02831-0029
(401) 822-3390
(401) 826-3060

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNT1880
RI

Other

Enumeration date
01/17/2006
Last updated
07/08/2007
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