| NPI | 1861554347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B CHAN President 401-334-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: RI DN01968) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |