Individual
DR. WALTER RAYMOND SHAGHALIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 PAWTUCKET AVE, RUMFORD, RI 02916-1704
(401) 438-4964
(401) 434-6021
Mailing address
1002 PAWTUCKET AVE, RUMFORD, RI 02916-1704
(401) 438-4964
(401) 434-6021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN01534
RI
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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