| NPI | 1104073246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M GORDON Orthodontist 401-828-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: RI 2421) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2011-01-31 |