31 ELMGROVE DENTAL LLC

PROVIDENCE, RI
NPI1225787708
Entity TypeOrganization
Authorized ContactJESSICA A POLAK
Office Manager
401-421-9350
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2022-03-22
Last Update Date2022-03-22
Business Address
31 ELMGROVE DENTAL LLC
31 ELMGROVE AVE
PROVIDENCE, RI 02906-4103
Phone number: 401-421-9350
Mailing Address
31 ELMGROVE DENTAL LLC
31 ELMGROVE AVE
PROVIDENCE, RI 02906-4103
Phone number:
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