Organization · NPI-2

Benefit Dental Care, LLC

Dentist, General Practice · Providence, RI

NPI number1154782290
StatusActive
Last updated in NPPESMar 17, 2016

Details

NPI
1154782290
Entity type
Organization (NPI-2)
Legal business name
Benefit Dental Care, LLC
Organization subpart
No
Enumeration date
Mar 17, 2016
Last updated
Mar 17, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice02899RIYes

Practice location

5 Benefit St
Providence, RI 02904-2762

Phone 401-521-3822 · Fax 401-521-1020

Mailing address

5 Benefit St
Providence, RI 02904-2762

Phone 401-521-3822 · Fax 401-521-1020

Authorized official

Munal S Salem
Dentist/Owner
4015213822

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