| NPI | 1508828088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ALBERT DEQUATTRO Owner 401-783-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: RI 02711) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-08-22 |