Harborside Family Dental LLC
NPI #1275051450 in Riverside, Rhode Island
Provider Information
- NPI Number
- 1275051450
- Entity Type
- Organization
- Organization Name
- Harborside Family Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 7, 2017
- Last Updated
- Sep 7, 2017
Practice Location
- Address
- 600 WAMPANOAG TRL
- City
- Riverside
- State
- Rhode Island
- ZIP Code
- 02915-1511
- Phone
- (401) 431-2180
Authorized Official
- Name
- MS. SAMANTHA BURNELL
- Title
- CHIEF OPERATIONS OFFICER
- Phone
- (401) 578-0274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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