| NPI | 1467579003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM DUANE SWANSON President 401-683-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: RI 1956) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |