| NPI | 1003307117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CAPALBO Chief Dentist 401-741-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: RI 2931) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |