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 |