| NPI | 1457482820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN DELCUPOLO Sec 401-861-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: RI 02728) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: RI 02010) |
| 1223P0300X Dentist, Periodontics (Licence: RI 02496) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-09-11 |