Organization
PEDIATRIC DENTAL CARE OF RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HENCLER DMD (PEDIATRIC DENTIST/OWNER)
(401) 825-6062
Entity
Organization
Contact information
Practice address
1775 BALD HILL RD, WARWICK, RI 02886-4231
(401) 825-6062
Mailing address
1775 BALD HILL RD, WARWICK, RI 02886-4231
(401) 825-6062
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN03114
RI
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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