| NPI | 1952734949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HENCLER Pediatric Dentist/Owner 401-825-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: RI DEN03114) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |