| NPI | 1720108129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A FAZZINI President 401-943-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN01822) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2012-03-20 |