| NPI | 1710187240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI PALETTA Partner 401-295-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |