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1942323621
BAYSIDE DENTAL INCORPORATED
BRISTOL, RI
NPI
1942323621
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Entity Type
Organization
Authorized Contact
PAUL M KOTUBY
Dentist
401-253-3781
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: RI DEN01874)
Enumeration Date
2007-04-09
Last Update Date
2020-08-22
Business Address
BAYSIDE DENTAL INCORPORATED
15 GOODING AVE SUITE 1
BRISTOL, RI 02809-2600
Phone number: 401-253-3781
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Mailing Address
BAYSIDE DENTAL INCORPORATED
15 GOODING AVE SUITE 1
BRISTOL, RI 02809-2600
Phone number: 401-253-3781
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