Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DENO1778 | RI |
NPI | 1154542371 |
---|---|
Provider Name | Dr. Barbara M Bilder |
First Address | Providence, RI 02906-4316 |
Second Address | Providence, RI 02906-4316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |