| NPI | 1760692990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MURRAY Office Manager 401-463-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: RI 2328) |
| Additional Taxonomies | 122300000X Dentist (Licence: RI 2284) |
| 1223G0001X Dentist, General Practice (Licence: RI 1920) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |