Big Smiles Rhode Island Pc

NPI 1043453574 - Dentist - 122300000X

NPI Details
NPI 1043453574
Enumeration Date 04/14/2009
Last Updated 04/14/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ELLIOT P. ELLIOT
Position DENTAL DIRECTOR
Phone (888) 833-8441
Fax (888) 330-4331
Practice Location
1800 MINERAL SPRING AVE STE D
#175
NORTH PROVIDENCE RI, 02904-3980, US
Phone (888) 833-8441
Fax (888) 330-4331
Business Location
33533 W 12 MILE RD
SUITE 150
FARMINGTON HILLS MI, 48331-3354, US
Phone (888) 833-8441
Fax (888) 330-4331
Toxanomy
Taxonomy Code 122300000X
License State Rhode Island
License Number DEN03028
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According to our database, Big Smiles Rhode Island Pc NPI is 1043453574, taxonomy code is 122300000X and license number is DEN03028, license state is located at Rhode Island. Big Smiles Rhode Island Pc physically located at 1800 Mineral Spring Ave Ste D, North Providence RI, 02904-3980. NPI Number 1033115704 has the healthcare provider type.

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1043453574 NPI number is provided on an as is basis without warranty of any kind. 1043453574 is maintained by the National Plan & Provider Enumeration System. The contents of Big Smiles Rhode Island Pc are for informational purposes only.