NPI 1053803825

Cranston Pediatric Dentistry PC

Organisation Dental Clinic/Center Cranston, RI

Practice location

Address: 67 Phenix Ave, Cranston, RI 02920-4233
Phone: (617) 818-0573
Mailing address: 64 Pine St, Dover, MA 02030-2426

Authorised official

Name: Athanasios Zavras
Title: President
Phone: (617) 818-0573

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence DEN03342 (RI)

Other Clinic/Center providers in Rhode Island →

Registry record

NPI: 1053803825
Entity type: Organization
NPI issued: 6 Jun 2018
Record last updated: 6 Jun 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.