| Branch Village Dental Associates Llc | |
|
501 Great Rd Ste 101 North Smithfield RI 02896-6833 | |
| (401) 369-8167 | |
| Not Available |
| Full Name | Branch Village Dental Associates Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 501 Great Rd Ste 101, North Smithfield, Rhode Island |
| Authorized Official Name and Position | Amanda Lyn Kirwin (MANAGER) |
| Authorized Official Contact | 4013096259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branch Village Dental Associates Llc 501 Great Rd Ste 101 North Smithfield RI 02896-6833 Ph: (401) 309-6259 | Branch Village Dental Associates Llc 501 Great Rd Ste 101 North Smithfield RI 02896-6833 Ph: (401) 369-8167 |
| NPI Number | 1760029425 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 12/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760029425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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