Sunny Smile Group X LLC
NPI #1386325298 in North Kingstown, Rhode Island
Provider Information
- NPI Number
- 1386325298
- Entity Type
- Organization
- Organization Name
- Sunny Smile Group X LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 25, 2023
- Last Updated
- Sep 14, 2023
Practice Location
- Address
- 112 GATE RD
- City
- North Kingstown
- State
- Rhode Island
- ZIP Code
- 02852
- Phone
- (401) 522-9055
Authorized Official
- Name
- MICHELLE JACOMINO-BARNES
- Title
- DIRECTOR CREDENTIALING & ENROLLMENT
- Phone
- (813) 270-9497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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