PETITO ORAL SURGERY

EAST PROVIDENCE, RI
NPI1134414154
Entity TypeOrganization
Authorized ContactANTHONY ROCCO PETITO
Owner
401-578-1688
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: RI  2552)
Enumeration Date2011-06-17
Last Update Date2011-06-17
Business Address
PETITO ORAL SURGERY
400 MASSASOIT AVE SUITE 103
EAST PROVIDENCE, RI 02914-2012
Phone number: 401-578-1866
Mailing Address
PETITO ORAL SURGERY
400 MASSASOIT AVE SUITE 103
EAST PROVIDENCE, RI 02914-2012
Phone number: 401-578-1866