| NPI | 1881950509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY ALMONTE Billing Manager 401-739-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: RI 2741) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |