| Petra Diagnostics | |
|
350 Kingstown Rd Suite 203 Narragansett RI 02882-3262 | |
| (401) 284-3500 | |
| (401) 284-3502 |
| Full Name | Petra Diagnostics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 350 Kingstown Rd, Narragansett, Rhode Island |
| Authorized Official Name and Position | Lisa W. Tyler (PRESIDENT) |
| Authorized Official Contact | 4012950260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petra Diagnostics 350 Kingstown Rd Suite 203 Narragansett RI 02882-3262 Ph: (401) 284-3500 | Petra Diagnostics 350 Kingstown Rd Suite 203 Narragansett RI 02882-3262 Ph: (401) 284-3500 |
| NPI Number | 1881827780 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 08/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881827780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2494 (Rhode Island) | Primary |
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