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Dr. Farisa Surattanont Mulvey, DDS
Pediatric Dentist in Providence, Rhode Island
NPI 1275583874

Farisa Surattanont Mulvey is a Pediatric Dentist based in Providence, RI and is specialized in Pediatric Dentistry. Farisa Surattanont Mulvey practices in Providence, RI and has the professional credentials of DDS. The NPI Number for Farisa Surattanont Mulvey is 1275583874 and holds a License No. 2834 (Rhode Island).

The current practice location address for Farisa Surattanont Mulvey is 148 Waterman St, Providence, RI and can be reached out via phone at 401-272-3443 and via fax at 401-272-3539. You can also correspond with Farisa Surattanont Mulvey through the mailing address at 148 WATERMAN ST, PROVIDENCE, RI - 02906-2130 (mailing address contact number: 401-272-3443).

Location: 148 Waterman St, Providence, RI, 02906-2130
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Provider Profile Details
NPI Number
1275583874
Provider Name
Farisa Surattanont Mulvey
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
148 Waterman St, Providence, RI, 02906-2130
Phone Number
401-272-3443
Fax Number
401-272-3539
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FS53913 05 RI
institution
Provider Business Practice Location Address Details
Address
148 Waterman St
City
State
Zip
02906-2130
Phone Number
401-272-3443
Fax Number
401-272-3539
person
Provider Business Mailing Address Details
Address
148 Waterman St
City
State
Zip
02906-2130
Phone Number
401-272-3443
Fax Number
401-272-3539
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
2834 (Rhode Island)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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