Beachcrest Dental, Inc.

NPI #1902070865 in Westerly, Rhode Island

Provider Information

NPI Number
1902070865
Entity Type
Organization
Organization Name
Beachcrest Dental, Inc.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 22, 2008
Last Updated
Apr 22, 2008

Practice Location

Address
88 BEACH ST
ZIP Code
02891-2718
Phone
(401) 596-0075

Authorized Official

Name
DR. BRUCE CHARLES MACKINNON, D.D.S.
Title
PRESIDENT
Phone
(401) 596-0075

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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