| NPI | 1215177308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBET B STADELMANN President 401-596-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |