| NPI | 1902071244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER M RAMIREZ President 401-474-1786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027327) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |