| NPI | 1043679004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS (NEIL) JOHN LEAHEY General Dentist/President 401-256-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN02737) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |