Steven A Fazzini Dmd Inc | |
2000 Chapel View Blvd Suite #370 Cranston RI 02920-3078 | |
(410) 943-1412 | |
Not Available |
Full Name | Steven A Fazzini Dmd Inc |
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Speciality | Dentist - General Practice |
Location | 2000 Chapel View Blvd, Cranston, Rhode Island |
Authorized Official Name and Position | Steven A Fazzini (PRESIDENT) |
Authorized Official Contact | 4019431412 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Steven A Fazzini Dmd Inc 2000 Chapel View Blvd Suite #370 Cranston RI 02920-3078 Ph: (410) 943-1412 | Steven A Fazzini Dmd Inc 2000 Chapel View Blvd Suite #370 Cranston RI 02920-3078 Ph: (410) 943-1412 |
NPI Number | 1720108129 |
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Provider Enumeration Date | 03/30/2007 |
Last Update Date | 03/20/2012 |
Identifier | Type | State | Issuer |
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1720108129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DEN01822 (Rhode Island) | Primary |
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