| NPI | 1154589851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI TINKHAM Manager 401-245-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: RI 2779) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |