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Blackstone Endodontics, LLC

Dentist, Endodontics in Cumberland, RI. Organization (NPI-2).

NPI number1366046583
StatusActive
Last updated in NPPESNov 29, 2020

Details

NPI
1366046583
Entity type
Organization (NPI-2)
Legal business name
Blackstone Endodontics, LLC
Organization subpart
No
Enumeration date
Nov 29, 2020
Certification date
Nov 29, 2020
Last updated
Nov 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, Endodontics––Yes

Practice location

2138 Mendon Rd Ste 102
Cumberland, RI 02864-3832

Phone 401-405-4411

Mailing address

2138 Mendon Rd Ste 102
Cumberland, RI 02864-3832

Authorized official

Mariya Shnaydman
Owner
4014054411

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