Individual
MARK LOUIS PAOLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
931 SMITH STREET, PROVIDENCE, RI 02908
(401) 521-5528
Mailing address
931 SMITH STREET, PROVIDENCE, RI 02908
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03270
RI
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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