| NPI | 1346674066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J TILELLI Owner 401-828-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: RI 1731) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: RI 3116) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |