DR. Farisa Surattanont Mulvey, D.D.S.

NPI #1275583874 in Providence, Rhode Island

Provider Information

NPI Number
1275583874
Entity Type
Individual
Name
DR. Farisa Surattanont Mulvey, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
May 12, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
148 WATERMAN ST
ZIP Code
02906-2130
Phone
(401) 272-3443

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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