DAVID IRA KONICOV

PROVIDENCE, RI
NPI1033264866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: RI  1907)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
-- DAVID IRA KONICOV DDS
189 GOVERNOR ST SUITE 201
PROVIDENCE, RI 02906-3124
Phone number: 401-421-1457
Mailing Address
-- DAVID IRA KONICOV DDS
189 GOVERNOR ST SUITE 201
PROVIDENCE, RI 02906-3124
Phone number: 401-421-1457
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