Pawtucket Orthodontics LLC
NPI #1023881570 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1023881570
- Entity Type
- Organization
- Organization Name
- Pawtucket Orthodontics LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Nov 6, 2023
- Last Updated
- Nov 6, 2023
Practice Location
- Address
- 123 SCHOOL ST STE 3
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-4270
- Phone
- (401) 728-0150
Authorized Official
- Name
- DR. ZACHARY KOFOS, DMD
- Title
- OWNER
- Phone
- (617) 678-3125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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