BOUSTANI PERIODONTICS PC

PROVIDENCE, RI
NPI1114745155
Entity TypeOrganization
Authorized ContactGABRIEL BOUSTANI
President
617-640-4637
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist Periodontics
Enumeration Date2024-09-30
Last Update Date2024-09-30
Business Address
BOUSTANI PERIODONTICS PC
40 ELMGROVE AVE
PROVIDENCE, RI 02906-4104
Phone number: 401-421-1717
Mailing Address
BOUSTANI PERIODONTICS PC
40 ELMGROVE AVE
PROVIDENCE, RI 02906-4104
Phone number: 401-421-1717
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