NPI | 1528345121 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIP CHRISTIAN BARNER Owner 401-233-3350 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: RI DEN1777) |
Enumeration Date | 2011-11-10 |
Last Update Date | 2011-11-10 |