| NPI | 1285692731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN NICHOLAS BAKIAS Owner 401-435-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: RI 1686) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 16987) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-04-20 |