DEREK NOBREGA

PROVIDENCE, RI
NPI1871858233
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: RI  LD00081)
Enumeration Date2012-07-11
Last Update Date2012-07-11
Business Address
-- DEREK NOBREGA DMD
21 PEACE ST
PROVIDENCE, RI 02907-1510
Phone number: 401-456-4461
Mailing Address
-- DEREK NOBREGA DMD
825 CHALKSTONE AVE N. CAMPUS BUSINESS OFFICE, ATTN: R. SOARES
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2525