Cranston Pediatric Dentistry PC
NPI #1053803825 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1053803825
- Entity Type
- Organization
- Organization Name
- Cranston Pediatric Dentistry PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 6, 2018
- Last Updated
- Jun 6, 2018
Practice Location
- Address
- 67 PHENIX AVE
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02920-4233
- Phone
- (617) 818-0573
Authorized Official
- Name
- DR. ATHANASIOS ZAVRAS, DDS, MS, DMSC
- Title
- PRESIDENT
- Phone
- (617) 818-0573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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