Smith Family Dental Assoc

NPI #1972702173 in East Providence, Rhode Island

Provider Information

NPI Number: 1972702173
Entity Type: Organization
Organization Name: Smith Family Dental Assoc
Primary Specialty: Dentist
Enumeration Date: Jul 17, 2007
Last Updated: Jul 17, 2007

Practice Location

Address: 2780 PAWTUCKET AVENUE
City: East Providence
State: Rhode Island
ZIP Code: 02914
Phone: (401) 434-7471

Authorized Official

Name: MRS. MICHELLE SMITH GONCALVES, DMD
Title: PRESIDENT
Phone: (401) 434-7471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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