| NPI | 1801963186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVEED A YOUSUF President 401-333-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: RI DEN02472) |
| Additional Taxonomies | 122300000X Dentist (Licence: RI DEN02474) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |