| NPI | 1508900051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON G HAZELTON President 401-943-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI den2373) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2013-06-13 |