| Dental Ri Pc | |
|
1249 Oaklawn Ave Cranston RI 02920-2621 | |
| (401) 463-8000 | |
| Not Available |
| Full Name | Dental Ri Pc |
|---|---|
| Speciality | Dentist |
| Location | 1249 Oaklawn Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Michael Robert Gallucci (DENTIST) |
| Authorized Official Contact | 4015333108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Ri Pc 5 Lovegreen Ln East Greenwich RI 02818-1163 Ph: (401) 533-3108 | Dental Ri Pc 1249 Oaklawn Ave Cranston RI 02920-2621 Ph: (401) 463-8000 |
| NPI Number | 1013532506 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 06/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013532506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
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