NPI 1710232921

Ri DDS (adil)

Organisation Public Health or Welfare Agency Providence, RI

Practice location

Address: 8 Olive St, Providence, RI 02906-1310
Phone: (401) 861-2001

Authorised official

Name: John Microulis
Title: Administrator
Phone: (401) 222-3182

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence MD04710 (RI)

Other Public Health or Welfare providers in Rhode Island →

Registry record

NPI: 1710232921
Entity type: Organization
NPI issued: 13 Jul 2012
Record last updated: 13 Jul 2012

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.