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1871858233
DEREK NOBREGA
PROVIDENCE, RI
NPI
1871858233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: RI LD00081)
Enumeration Date
2012-07-11
Last Update Date
2012-07-11
Business Address
-- DEREK NOBREGA DMD
21 PEACE ST
PROVIDENCE, RI 02907-1510
Phone number: 401-456-4461
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Mailing Address
-- DEREK NOBREGA DMD
825 CHALKSTONE AVE N. CAMPUS BUSINESS OFFICE, ATTN: R. SOARES
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2525
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