| NPI | 1205182797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN ZUMSTEIN Manager 401-789-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI 2876) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |