Lakeside Dental, Inc.
NPI #1205018033 in West Greenwich, Rhode Island
Provider Information
- NPI Number
- 1205018033
- Entity Type
- Organization
- Organization Name
- Lakeside Dental, Inc.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 4, 2007
- Last Updated
- Aug 3, 2011
Practice Location
- Address
- 34 NOOSENECK HILL RD
- Address 2
- UNIT #1
- City
- West Greenwich
- State
- Rhode Island
- ZIP Code
- 02817-1509
- Phone
- (401) 392-3320
Authorized Official
- Name
- DR. PAUL F. CALITRI, D.M.D.
- Title
- PRESIDENT
- Phone
- (401) 392-3320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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