Ri DDS (adil)
NPI #1710232921 in Providence, Rhode Island
Provider Information
- NPI Number
- 1710232921
- Entity Type
- Organization
- Organization Name
- Ri DDS (adil)
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Jul 13, 2012
- Last Updated
- Jul 13, 2012
Practice Location
- Address
- 8 OLIVE ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02906-1310
- Phone
- (401) 861-2001
Authorized Official
- Name
- MR. JOHN MICROULIS
- Title
- ADMINISTRATOR
- Phone
- (401) 222-3182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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