| NPI | 1265759567 |
|---|---|
| Former Legal Business Name | CITY DENTAL OF WOONSOCKET, LLC |
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE ROCA Office Manager 401-597-5920 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |