Blackstone Valley Family Dental Associates
NPI #1598043630 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1598043630
- Entity Type
- Organization
- Organization Name
- Blackstone Valley Family Dental Associates
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 22, 2011
- Last Updated
- Jul 22, 2011
Practice Location
- Address
- 465 RESERVOIR AVE
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02910-1728
- Phone
- (401) 450-2177
Authorized Official
- Name
- MR. BENJAMIN RODRICK
- Title
- EXECUTIVE ADMINISTRATOR
- Phone
- (401) 450-2177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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