| Reservoir Dental Llc | |
|
725 Reservoir Ave Ste 304 Cranston RI 02910-4452 | |
| (401) 400-8868 | |
| (401) 406-2710 |
| Full Name | Reservoir Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 725 Reservoir Ave Ste 304, Cranston, Rhode Island |
| Authorized Official Name and Position | Vlad Botezatu (DENTIST) |
| Authorized Official Contact | 4014008868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reservoir Dental Llc 725 Reservoir Ave Ste 304 Cranston RI 02910-4452 Ph: (401) 400-8868 | Reservoir Dental Llc 725 Reservoir Ave Ste 304 Cranston RI 02910-4452 Ph: (401) 400-8868 |
| NPI Number | 1609553759 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609553759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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