| NPI | 1922495134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHARLES DISANO Dentist/Owner 401-783-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: RI 2640) |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2015-04-26 |