| NPI | 1720236342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L. CIOMBOR Owner 401-726-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI 1660) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: RI 2935) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |