Keisi Ikonomi, DMD

NPI #1164103339 in North Providence, Rhode Island

Provider Information

NPI Number: 1164103339
Entity Type: Individual
Name: Keisi Ikonomi, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 31, 2023
Last Updated: Jul 31, 2023

Practice Location

Address: 2148 MINERAL SPRING AVE
City: North Providence
State: Rhode Island
ZIP Code: 02911-1722
Phone: (401) 622-6080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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