| NPI | 1013075373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL H HARRISON President 401-732-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: RI 1706) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |