| NPI | 1912152877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL A GISHERMAN Business Administrator 401-245-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: RI 02779) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |