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1245856590
KHOHLIA MACK
PROVIDENCE, RI
NPI
1245856590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: RI LD00178)
Enumeration Date
2020-06-23
Last Update Date
2020-06-23
Business Address
KHOHLIA MACK DMD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4098
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Mailing Address
KHOHLIA MACK DMD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4098
Copy
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