Riverside Smiles Theodore I Goldberg, Dmd PC & Associates

NPI #1568833408 in Riverside, Rhode Island

Provider Information

NPI Number: 1568833408
Entity Type: Organization
Organization Name: Riverside Smiles Theodore I Goldberg, Dmd PC & Associates
Primary Specialty: Dentist
Enumeration Date: Oct 19, 2015
Last Updated: Oct 19, 2015

Practice Location

Address: 250 WAMPANOAG TRAIL SUITE 103
City: Riverside
State: Rhode Island
ZIP Code: 02915
Phone: (401) 434-4413

Authorized Official

Name: MR. THEODORE I GOLDBERG, DMD
Title: DENTIST
Phone: (401) 434-4413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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