| Joseph L. Disano D.m.d., Inc. | |
|
390 Main St Wakefield RI 02879-7407 | |
| (401) 789-8693 | |
| (401) 788-9438 |
| Full Name | Joseph L. Disano D.m.d., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 390 Main St, Wakefield, Rhode Island |
| Authorized Official Name and Position | Joseph L Disano (OWNER) |
| Authorized Official Contact | 4017898693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph L. Disano D.m.d., Inc. 390 Main St Wakefield RI 02879-7407 Ph: () - | Joseph L. Disano D.m.d., Inc. 390 Main St Wakefield RI 02879-7407 Ph: (401) 789-8693 |
| NPI Number | 1790016103 |
|---|---|
| Provider Enumeration Date | 01/25/2010 |
| Last Update Date | 01/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790016103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1457 (Rhode Island) | Primary |
| 122300000X | Dentist | 2746 (Rhode Island) | Secondary |
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