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1770783284
MELISSA BOUVIER ROOT
PROVIDENCE, RI
NPI
1770783284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: RI 02983)
Enumeration Date
2007-07-23
Last Update Date
2007-07-23
Business Address
Dr. MELISSA BOUVIER ROOT D.M.D.
931 SMITH ST
PROVIDENCE, RI 02908-2704
Phone number: 401-521-5528
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Mailing Address
Dr. MELISSA BOUVIER ROOT D.M.D.
931 SMITH ST
PROVIDENCE, RI 02908-2704
Phone number: 401-521-5528
Copy
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