| NPI | 1316665979 |
|---|---|
| Former Legal Business Name | FAMILY SMILES DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | SRIDEVI DUGGIRALA Dentist 401-724-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |