| NPI | 1720192180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MALLOUH Sole Proprietor 401-766-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI den02664) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |