NPI 1023602356
Providence Dental Sleep Center LLC
Practice location
- Address
- 362 Ives St, Providence, RI 02906-3929
- Phone
- (401) 455-1252
- Fax
- (401) 421-9124
Authorised official
- Name
- Mahra Beth Rubinstein Shocket
- Title
- Owner/President
- Phone
- (401) 455-1252
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1023602356
- Entity type
- Organization
- NPI issued
- 26 Feb 2021
- Record last updated
- 26 Feb 2021
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.