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 |