| NPI | 1295382398 |
|---|---|
| Doing Business As | ANGEL STREET DENTAL LLC |
| Doing Business As | EAST GREENWICH FAMILY DENTAL, LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CAPALBO Chief Dentist 401-741-7395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-10-10 |