NPI | 1528300274 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN W. TILMAN Dentist Owner 401-846-3801 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2013-03-20 |
Last Update Date | 2019-11-19 |