| NPI | 1093727257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN DUGAS Office Manager 401-454-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: RI 2533) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |