Cityline Dental Inc.

NPI 1053537464 - Dentist - 1223G0001X

NPI Details
NPI 1053537464
Enumeration Date 04/17/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL C. MICHAEL
Position PRESIDENT
Phone (401) 941-3353
Fax (401) 461-6558
Practice Location
400 RESERVOIR AVE
SUITE 3D
PROVIDENCE RI, 02907-3565, US
Phone (401) 941-3353
Fax (401) 461-6558
Business Location
400 RESERVOIR AVE
SUITE 3D
PROVIDENCE RI, 02907-3565, US
Phone (401) 941-3353
Fax (401) 461-6558
Toxanomy
Taxonomy Code 1223G0001X
License State Rhode Island
License Number 02534
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According to our database, Cityline Dental Inc. NPI is 1053537464, taxonomy code is 1223G0001X and license number is 02534, license state is located at Rhode Island. Cityline Dental Inc. physically located at 400 Reservoir Ave, Providence RI, 02907-3565. NPI Number 1033115704 has the healthcare provider type.

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1053537464 NPI number is provided on an as is basis without warranty of any kind. 1053537464 is maintained by the National Plan & Provider Enumeration System. The contents of Cityline Dental Inc. are for informational purposes only.