| NPI | 1871913715 |
|---|---|
| Doing Business As | WEST BAY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID LEWIS Practice Manager 401-885-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: RI 1487644852) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: RI 1912036013) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: RI 1730152182) | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |