| NPI | 1679668610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHRISTOPHER DIMAIO President 401-596-0319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: RI 1320) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |