| NPI | 1447491881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRI GEORGE GANIM Owner/Dentist 401-725-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI 1661) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |