Petra Diagnostics

NPI #1881827780 in Narragansett, Rhode Island

Provider Information

NPI Number
1881827780
Entity Type
Organization
Organization Name
Petra Diagnostics
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 26, 2009
Last Updated
Aug 26, 2009

Practice Location

Address
350 KINGSTOWN RD
Address 2
SUITE 203
ZIP Code
02882-3262
Phone
(401) 284-3500

Authorized Official

Name
LISA W. TYLER, DMD
Title
PRESIDENT
Phone
(401) 295-0260

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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