| NPI | 1801413802 |
|---|---|
| Doing Business As | PROVIDENCE SMILES |
| Entity Type | Organization |
| Authorized Contact | KWAME GYAMPO Owner 401-854-6537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |