Individual provider · NPI-1

Mohammad Manaf Alkurdi, DMD

Dentist, General Practice · Providence, RI

NPI number1821573551
StatusActive
Last updated in NPPESFeb 7, 2020

Details

NPI
1821573551
Entity type
Individual (NPI-1)
Name
Mohammad Manaf Alkurdi
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 28, 2018
Certification date
Feb 7, 2020
Last updated
Feb 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDEN03422RIYes
1223G0001X Dentist, General PracticeDN1858121MA

Practice location

5 Benefit St
Providence, RI 02904-2762

Phone 401-521-3822

Mailing address

5 Benefit St
Providence, RI 02904-2762

Phone 401-521-3822

Other practice locations

33 James Reynolds Rd
Swansea, MA 02777-3429

Phone 508-379-6077

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