| NPI | 1053584730 |
|---|---|
| Doing Business As | SOUTH COUNTY ORAL, MAXILLOFACIAL AND IMPLANT SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT STEVEN GILARDETTI President Owner 401-789-9758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: RI 09827) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |