| NPI | 1497888168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE MERCER Office Manager 401-848-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: RI DEN2276) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2024-03-23 |