NPI 1013483981
Chan Orthodontic Dentistry LLC
Practice location
- Address
- 2359 Mendon Rd, Cumberland, RI 02864-3707
- Phone
- (401) 334-3070
- Fax
- (401) 334-9031
Authorised official
- Name
- Tina Matos
- Title
- Bookkeeper
- Phone
- (401) 334-3070
Registered specialties
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
Registry record
- NPI
- 1013483981
- Entity type
- Organization
- NPI issued
- 18 Oct 2018
- Record last updated
- 18 Oct 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.