| NPI | 1194215160 |
|---|---|
| Doing Business As | SOCIAL STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSEFA RIVERA Office Assistant 401-921-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: RI den02637) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-08-17 |