| NPI | 1790167443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN WAYNE TILMAN Owner/Dentist 401-683-9724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: RI DEN02928) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-07-28 |