| 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 |