| NPI | 1801048798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EDWARD PEZZA Orthodontist 401-943-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |