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 |