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1134414154
PETITO ORAL SURGERY
EAST PROVIDENCE, RI
NPI
1134414154
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Entity Type
Organization
Authorized Contact
ANTHONY ROCCO PETITO
Owner
401-578-1688
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
(Licence: RI 2552)
Enumeration Date
2011-06-17
Last Update Date
2011-06-17
Business Address
PETITO ORAL SURGERY
400 MASSASOIT AVE SUITE 103
EAST PROVIDENCE, RI 02914-2012
Phone number: 401-578-1866
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Mailing Address
PETITO ORAL SURGERY
400 MASSASOIT AVE SUITE 103
EAST PROVIDENCE, RI 02914-2012
Phone number: 401-578-1866
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