| NPI | 1629568357 |
|---|---|
| Former Legal Business Name | MILLENIUM DENTAL INC |
| Former Legal Business Name | MILLENIUM DENTAL, INC |
| Former Legal Business Name | MILLENIUM DENTAL INC. |
| Entity Type | Organization |
| Authorized Contact | CIELO R. DEAYALA Manager 401-942-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI den3080) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-06-16 |