DR. Reynaldo Puertollano Baduya SR., D.M.D
NPI #1356409247 in Providence, Rhode Island
Provider Information
- NPI Number
- 1356409247
- Entity Type
- Individual
- Name
- DR. Reynaldo Puertollano Baduya SR., D.M.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 252 ADELAIDE AVE
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02907-1833
- Phone
- (401) 941-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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