| NPI | 1912022757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MACARI Owner 401-737-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: RI RI 27-89) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: RI DEN 02883) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |