| Chan Orthodontic Dentistry Llc | |
|
2359 Mendon Rd Cumberland RI 02864-3707 | |
| (401) 334-3070 | |
| (401) 334-9031 |
| Full Name | Chan Orthodontic Dentistry Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2359 Mendon Rd, Cumberland, Rhode Island |
| Authorized Official Name and Position | Tina Matos (BOOKKEEPER) |
| Authorized Official Contact | 4013343070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chan Orthodontic Dentistry Llc 2359 Mendon Rd Cumberland RI 02864-3707 Ph: (401) 334-3070 | Chan Orthodontic Dentistry Llc 2359 Mendon Rd Cumberland RI 02864-3707 Ph: (401) 334-3070 |
| NPI Number | 1013483981 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 10/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013483981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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