| East Side Endodontics | |
|
130 Waterman St Providence RI 02906-2010 | |
| (401) 521-3746 | |
| (401) 521-0037 |
| Full Name | East Side Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 130 Waterman St, Providence, Rhode Island |
| Authorized Official Name and Position | Janet S Tanzi (OWNER) |
| Authorized Official Contact | 4015213746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Side Endodontics 130 Waterman St Providence RI 02906-2010 Ph: (401) 521-3746 | East Side Endodontics 130 Waterman St Providence RI 02906-2010 Ph: (401) 521-3746 |
| NPI Number | 1518906965 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518906965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2173 (Rhode Island) | Primary |
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