| NPI | 1821248964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZBETH RIVERA Business Member 401-781-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: RI 2560) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |