| NPI | 1669746004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B CAPALBO Owner 401-789-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI 2931) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |