| NPI | 1407114648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R CRAIG WOOD Dentist 401-434-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI 01638) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: RI DEN01524) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |