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
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 - DentalDental

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