Beacon Dental Health Ri, PC

NPI #1669055315 in North Kingstown, Rhode Island

Provider Information

NPI Number
1669055315
Entity Type
Organization
Organization Name
Beacon Dental Health Ri, PC
Subpart
Yes (part of a larger organization)
Parent Organization
BEACON DENTAL HEALTH RI, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 30, 2021
Last Updated
Apr 30, 2021

Practice Location

Address
1051 TEN ROD RD UNIT 5
ZIP Code
02852-4163
Phone
(617) 418-6940

Authorized Official

Name
RISHI SHUKLA
Title
AUTHORIZED ADMINISTRATOR
Phone
(617) 418-6940

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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