| NPI | 1780858639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN ERIC HANZEL President 401-739-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI 1846) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: RI 2610) |
| 1223G0001X Dentist, General Practice (Licence: RI 2654) | |
| 1223P0300X Dentist, Periodontics (Licence: RI 1681) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |