PROSPECT CHARTERCARE SJHSRI, LLC

PROVIDENCE, RI
NPI1639584717
Doing Business AsST. JOSEPH DENTAL ASSOCIATES
Entity TypeOrganization
Authorized ContactROBERT JON ELDERS
Secretary
714-788-1249
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2014-06-26
Last Update Date2021-01-15
Business Address
PROSPECT CHARTERCARE SJHSRI, LLC
21 PEACE ST
PROVIDENCE, RI 02907-1510
Phone number: 401-456-4321
Mailing Address
PROSPECT CHARTERCARE SJHSRI, LLC
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904-5113
Phone number: 401-456-3000