| NPI | 1871705418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB DAVID WERBA Owner 401-751-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN01863) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |