| NPI | 1104236728 |
|---|---|
| Former Legal Business Name | ATWILL CONROY DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KRISTOFER HAGGARTY Manager 401-231-7390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |