Petito Oral Surgery
NPI #1134414154 in East Providence, Rhode Island
Provider Information
- NPI Number
- 1134414154
- Entity Type
- Organization
- Organization Name
- Petito Oral Surgery
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 17, 2011
- Last Updated
- Jun 17, 2011
Practice Location
- Address
- 400 MASSASOIT AVE
- Address 2
- SUITE 103
- City
- East Providence
- State
- Rhode Island
- ZIP Code
- 02914-2012
- Phone
- (401) 578-1866
Authorized Official
- Name
- DR. ANTHONY ROCCO PETITO, DDS MD
- Title
- OWNER
- Phone
- (401) 578-1688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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