Woonsocket Dental Associates
NPI #1861585671 in Woonsocket, Rhode Island
Provider Information
- NPI Number
- 1861585671
- Entity Type
- Organization
- Organization Name
- Woonsocket Dental Associates
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2000 DIAMOND HILL RD
- City
- Woonsocket
- State
- Rhode Island
- ZIP Code
- 02895-1554
- Phone
- (401) 766-8600
Authorized Official
- Name
- DR. MICHAEL BRIAN FORMAN, D.M.D.
- Title
- PRESIDENT
- Phone
- (401) 766-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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