| NPI | 1417231572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KOTUBY President 401-729-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI den1874) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |