| NPI | 1497072763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPESH UDESHI Dentist/Owner 401-331-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DEN03011) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2022-04-26 |