Wilfredo L Sancianco Dmd INC

NPI #1104221738 in Warwick, Rhode Island

Provider Information

NPI Number
1104221738
Entity Type
Organization
Organization Name
Wilfredo L Sancianco Dmd INC
Subpart
Yes (part of a larger organization)
Parent Organization
WILFREDO L SANCIANCO DMD INC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Oct 24, 2014
Last Updated
Oct 24, 2014

Practice Location

Address
3411 W SHIORE RD
ZIP Code
02886
Phone
(401) 737-7715

Authorized Official

Name
DR. WILFREDO LUANING SANCIANCO
Title
OWNER/DENTIST
Phone
(401) 737-7715

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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