| NPI | 1083575674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK DEQUATTRO Orthodontist 401-206-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2025-11-21 |