| 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 |