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Organization

DR JOHN RICCI

Active
Other names
Primeau Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN R RICCI DMD (OWNER)
(401) 737-9363
Entity
Organization

Contact information

Practice address
200 TOLL GATE RD, SUITE 104, WARWICK, RI 02886-4491
(401) 737-9363
Mailing address
200 TOLL GATE RD, SUITE 104, WARWICK, RI 02886-4491
(401) 737-9363

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
JR00816
RI
Enumeration date
09/13/2011
Last updated
09/13/2011
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