| NPI | 1225787708 |
|---|---|
| Former Legal Business Name | DR LAWRENCE D PAGE DMD INC |
| Entity Type | Organization |
| Authorized Contact | JESSICA A POLAK Office Manager 401-421-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |