Spartan Dental INC
NPI #1699113746 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1699113746
- Entity Type
- Organization
- Organization Name
- Spartan Dental INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 11, 2013
- Last Updated
- Sep 24, 2013
Practice Location
- Address
- 105 SOCKANOSSET CROSS RD
- Address 2
- SUITE 316
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02920-5560
- Phone
- (401) 383-7569
Authorized Official
- Name
- DR. ELIAS GEORGE KOUTROS, D.D.S.
- Title
- PRESIDENT
- Phone
- (401) 383-7569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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