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1013164920
THE FAMILY DENTIST
PAWTUCKET, RI
NPI
1013164920
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Entity Type
Organization
Authorized Contact
MICHAEL A. WAGNER
President
401-728-6654
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: RI 2342)
Enumeration Date
2008-08-21
Last Update Date
2008-08-21
Business Address
THE FAMILY DENTIST
480 BROADWAY
PAWTUCKET, RI 02860-1340
Phone number: 401-728-6654
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Mailing Address
THE FAMILY DENTIST
480 BROADWAY
PAWTUCKET, RI 02860-1340
Phone number: 401-728-6654
Copy
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