| Cranston Pediatric Dentistry Pc | |
|
67 Phenix Ave Cranston RI 02920-4233 | |
| (617) 818-0573 | |
| Not Available |
| Full Name | Cranston Pediatric Dentistry Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 67 Phenix Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Athanasios Zavras (PRESIDENT) |
| Authorized Official Contact | 6178180573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cranston Pediatric Dentistry Pc 64 Pine St Dover MA 02030-2426 Ph: (617) 818-0573 | Cranston Pediatric Dentistry Pc 67 Phenix Ave Cranston RI 02920-4233 Ph: (617) 818-0573 |
| NPI Number | 1053803825 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 06/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053803825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN03342 (Rhode Island) | Primary |
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