Your Profile Dental, LLC
NPI #1518562750 in East Providence, Rhode Island
Provider Information
- NPI Number
- 1518562750
- Entity Type
- Organization
- Organization Name
- Your Profile Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2020
- Last Updated
- Dec 4, 2020
Practice Location
- Address
- 888 BROADWAY
- City
- East Providence
- State
- Rhode Island
- ZIP Code
- 02914-3742
- Phone
- (401) 228-3999
Authorized Official
- Name
- EMILY FERREIRA
- Title
- OFFICE MANAGER
- Phone
- (401) 228-3999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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