| NPI | 1699113746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS GEORGE KOUTROS President 401-383-7569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN02860) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-09-24 |