Dental Group of Pawtucket
NPI #1740451509 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1740451509
- Entity Type
- Organization
- Organization Name
- Dental Group of Pawtucket
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 19, 2008
- Last Updated
- Mar 19, 2008
Practice Location
- Address
- 1571 NEWPORT AVE
- Address 2
- SUITE 2
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02861-1351
- Phone
- (401) 722-3344
Authorized Official
- Name
- DR. RAJ V DULALA, B.D.S., D.M.D.
- Title
- OWNER
- Phone
- (401) 722-3344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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