Individual
KAJA PUERINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
36 BRIDGE WAY, WELLONE PRIMARY MEDICAL AND DENTAL CARE, PASCOAG, RI 02859-3131
(401) 567-0800
(401) 568-0582
Mailing address
PO BOX 312, WELLONE PRIMARY MEDICAL AND DENTAL CARE, PASCOAG, RI 02859-0312
(401) 567-0800
(401) 567-0900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN02891
RI
1223G0001X
General Practice Dentistry
Primary
DEN02891
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KP58677
—
RI
Enumeration date
04/25/2006
Last updated
06/04/2014
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