| NPI | 1801930474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW GAZERRO President 401-821-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI 2598) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |