| NPI | 1568611481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TIMOTHY COLETTI Owner 401-732-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: RI 1555) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |