| NPI | 1942322458 |
|---|---|
| Doing Business As | PROVIDENCE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THOMAS SPENCER MULVEY Owner 917-566-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: RI 2821) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-07-30 |