SCOTT MARK FERTIK

PROVIDENCE, RI
NPI1982810214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: RI  DEN02345)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
Dr. SCOTT MARK FERTIK DDS
167 GANO ST
PROVIDENCE, RI 02906-3808
Phone number: 401-274-2600
Mailing Address
Dr. SCOTT MARK FERTIK DDS
55 SIGNAL RIDGE WAY
E GREENWICH, RI 02818-1649
Phone number: 401-886-7999
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