| NPI | 1912297425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE RAMIREZ Office Manager 401-941-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: RI 2491) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |