| Millenium Dental Inc. | |
|
314f Pocasset Ave Providence RI 02909-4828 | |
| (401) 942-5051 | |
| Not Available |
| Full Name | Millenium Dental Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 314f Pocasset Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Cielo R. Deayala (MANAGER) |
| Authorized Official Contact | 4019425051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millenium Dental Inc. 314f Pocasset Ave Providence RI 02909-4828 Ph: (401) 942-5051 | Millenium Dental Inc. 314f Pocasset Ave Providence RI 02909-4828 Ph: (401) 942-5051 |
| NPI Number | 1629568357 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629568357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN3080 (Rhode Island) | Primary |
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