| NPI | 1972545481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F BIERNACKI Partner 401-658-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: RI 01614) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 012100) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-01-02 |