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1134689128
JEFFERSON DENTAL ASSOCIATES II, LLC
WARWICK, RI
NPI
1134689128
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Entity Type
Organization
Authorized Contact
MICHAEL CAPABLO
Dentist
401-741-7395
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
JEFFERSON DENTAL ASSOCIATES II, LLC
222 JEFFERSON BLVD
WARWICK, RI 02888-3847
Phone number: 401-739-2350
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Mailing Address
JEFFERSON DENTAL ASSOCIATES II, LLC
222 JEFFERSON BLVD
WARWICK, RI 02888-3847
Phone number: 401-739-2350
Copy
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