NPI 1104221738

Wilfredo L Sancianco DMD INC

Organisation Preferred Provider Organization Warwick, RI

Practice location

Address: 3411 W Shiore Rd, Warwick, RI 02886
Phone: (401) 737-7715
Fax: (401) 734-9580
Mailing address: 3411 W Shore Rd, Warwick, RI 02886-7561

Authorised official

Name: Wilfredo Luaning Sancianco
Title: Owner/Dentist
Phone: (401) 737-7715

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 02633 (RI)

Other Preferred Provider Organization providers in Rhode Island →

Registry record

NPI: 1104221738
Entity type: Organization
NPI issued: 24 Oct 2014
Record last updated: 24 Oct 2014

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.