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1000 Bald Hill Rd Warwick RI 02886-0506 | |
(401) 822-1866 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1000 Bald Hill Rd, Warwick, Rhode Island |
Authorized Official Name and Position | Dongho Kim (OWNER) |
Authorized Official Contact | 3154546000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3189 Syracuse NY 13220-3189 Ph: () - | 1000 Bald Hill Rd Warwick RI 02886-0506 Ph: (401) 822-1866 |
NPI Number | 1326439779 |
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Provider Enumeration Date | 02/06/2015 |
Last Update Date | 02/06/2015 |
Identifier | Type | State | Issuer |
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1326439779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 3243 (Rhode Island) | Primary |
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