| NPI | 1518362136 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | NEIL F DUNGCA President 401-737-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: RI 2750) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |