JULIA ROSE JAGANNATH

PROVIDENCE, RI
NPI1548992993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LD00200)
Enumeration Date2022-06-25
Last Update Date2022-06-25
Business Address
JULIA ROSE JAGANNATH DMD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8450
Mailing Address
JULIA ROSE JAGANNATH DMD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8450
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