Dental Group of Wakefield LLC

NPI #1699063099 in Wakefield, Rhode Island

Provider Information

NPI Number: 1699063099
Entity Type: Organization
Organization Name: Dental Group of Wakefield LLC
Primary Specialty: Dentist
Enumeration Date: Jul 19, 2011
Last Updated: Jul 20, 2011

Practice Location

Address: 26 SOUTH COUNTY COMMONS
Address 2: DENTAL GROUP OF WAKEFIELD LLC
City: Wakefield
State: Rhode Island
ZIP Code: 02880
Phone: (401) 789-9718

Authorized Official

Name: MATTHEW BRIAN CAPALBO, DMD
Title: OWNER
Phone: (401) 789-9718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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