| Celestial Smile Dental Associates Pc | |
|
10 Dorrance St Ste 700 Providence RI 02903-2014 | |
| (781) 774-9885 | |
| Not Available |
| Full Name | Celestial Smile Dental Associates Pc |
|---|---|
| Speciality | Dentist |
| Location | 10 Dorrance St Ste 700, Providence, Rhode Island |
| Authorized Official Name and Position | Anthony Oyebode Olatunji (DENTIST) |
| Authorized Official Contact | 7817749885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celestial Smile Dental Associates Pc 10 Dorrance St Ste 700 Providence RI 02903-2014 Ph: (781) 774-9885 | Celestial Smile Dental Associates Pc 10 Dorrance St Ste 700 Providence RI 02903-2014 Ph: (781) 774-9885 |
| NPI Number | 1134603624 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 09/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134603624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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