Providence Dental Sleep Center LLC
NPI #1023602356 in Providence, Rhode Island
Provider Information
- NPI Number
- 1023602356
- Entity Type
- Organization
- Organization Name
- Providence Dental Sleep Center LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 26, 2021
- Last Updated
- Feb 26, 2021
Practice Location
- Address
- 362 IVES ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02906-3929
- Phone
- (401) 455-1252
Authorized Official
- Name
- DR. MAHRA BETH RUBINSTEIN SHOCKET, DDS
- Title
- OWNER/PRESIDENT
- Phone
- (401) 455-1252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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