| NPI | 1285883165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SALVATORE CARROCCCIA Owner 401-942-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI 1977) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |