Reservoir Dental LLC
NPI #1609553759 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1609553759
- Entity Type
- Organization
- Organization Name
- Reservoir Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 30, 2023
- Last Updated
- Jun 30, 2023
Practice Location
- Address
- 725 RESERVOIR AVE STE 304
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02910-4452
- Phone
- (401) 400-8868
Authorized Official
- Name
- DR. VLAD BOTEZATU, DMD
- Title
- DENTIST
- Phone
- (401) 400-8868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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