| NPI | 1528325693 |
|---|---|
| Doing Business As | CHARLES STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN RICCI Owner 401-475-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI den2137) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |