| NPI | 1174380836 |
|---|---|
| Doing Business As | LITTLE REBELZ PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TYLER ROBERTS Dentist 401-536-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-05-28 |