| Wilfredo Sancianco Dmd | |
|
3411 W Shore Rd Warwick RI 02886-7561 | |
| (401) 737-7716 | |
| (401) 737-7713 |
| Full Name | Wilfredo Sancianco Dmd |
|---|---|
| Speciality | Dentist |
| Location | 3411 W Shore Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Wilfredo L. Sancianco (DENTIST/PROVIDER) |
| Authorized Official Contact | 4017377716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilfredo Sancianco Dmd 3411 W Shore Rd Warwick RI 02886-7561 Ph: (401) 737-7716 | Wilfredo Sancianco Dmd 3411 W Shore Rd Warwick RI 02886-7561 Ph: (401) 737-7716 |
| NPI Number | 1407253073 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 11/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407253073 | NPI | - | NPPES |
| 1104221738 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 02633 (Rhode Island) | Primary |
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