| NPI | 1841387149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO J MATTERO President 401-596-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN01481) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |