Organization · NPI-2

Benefit Dental Care, LLC

Dentist, General Practice · Providence, RI

NPI number1265185482
StatusActive
Last updated in NPPESJan 28, 2022

Details

NPI
1265185482
Entity type
Organization (NPI-2)
Legal business name
Benefit Dental Care, LLC
Organization subpart
No
Enumeration date
Jan 28, 2022
Certification date
Jan 28, 2022
Last updated
Jan 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

189 Governor St
Providence, RI 02906-3124

Phone 401-421-1457

Mailing address

189 Governor St
Providence, RI 02906-3124

Phone 401-421-1457

Authorized official

Munal S Salem
Owner/Dentist
7813673369

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