Branch Village Dental Associates LLC
NPI #1760029425 in North Smithfield, Rhode Island
Provider Information
- NPI Number
- 1760029425
- Entity Type
- Organization
- Organization Name
- Branch Village Dental Associates LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 2, 2019
- Last Updated
- Dec 2, 2019
Practice Location
- Address
- 501 GREAT RD STE 101
- City
- North Smithfield
- State
- Rhode Island
- ZIP Code
- 02896-6833
- Phone
- (401) 369-8167
Authorized Official
- Name
- MISS AMANDA LYN KIRWIN, CDA
- Title
- MANAGER
- Phone
- (401) 309-6259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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