| NPI | 1124263884 |
|---|---|
| Other Name | RHODE ISLAND ORTHODONTIC GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN S KACEWICZ Orthodontist 401-884-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: RI 1716) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: RI 2642) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: RI 3001) | |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |