Petito Oral Surgery | |
400 Massasoit Ave Suite 103 East Providence RI 02914-2012 | |
(401) 578-1866 | |
(508) 336-6580 |
Full Name | Petito Oral Surgery |
---|---|
Speciality | Clinic/center - Dental |
Location | 400 Massasoit Ave, East Providence, Rhode Island |
Authorized Official Name and Position | Anthony Rocco Petito (OWNER) |
Authorized Official Contact | 4015781688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Petito Oral Surgery 400 Massasoit Ave Suite 103 East Providence RI 02914-2012 Ph: (401) 578-1866 | Petito Oral Surgery 400 Massasoit Ave Suite 103 East Providence RI 02914-2012 Ph: (401) 578-1866 |
NPI Number | 1134414154 |
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Provider Enumeration Date | 06/17/2011 |
Last Update Date | 06/17/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134414154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 2552 (Rhode Island) | Primary |
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› Verified 8 days ago
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