| Your Profile Dental, Llc | |
|
888 Broadway East Providence RI 02914-3742 | |
| (401) 228-3999 | |
| (401) 228-3966 |
| Full Name | Your Profile Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 888 Broadway, East Providence, Rhode Island |
| Authorized Official Name and Position | Emily Ferreira (OFFICE MANAGER) |
| Authorized Official Contact | 4012283999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Profile Dental, Llc 888 Broadway East Providence RI 02914-3742 Ph: (401) 228-3999 | Your Profile Dental, Llc 888 Broadway East Providence RI 02914-3742 Ph: (401) 228-3999 |
| NPI Number | 1518562750 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518562750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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