Individual
DR. ABBAS GHORIESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 NEWPORT AVE, PAWTUCKET, RI 02861
(401) 723-6565
(401) 723-6611
Mailing address
115 NEWPORT AVE, PAWTUCKET, RI 02861
(401) 723-6565
(401) 723-6611
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
02803
RI
1223P0300X
Periodontics
17377
MA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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