| NPI | 1144345489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY M. FORTI President 401-728-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI LF2168) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |