| NPI | 1972579183 |
|---|---|
| Doing Business As | MSL FACIAL & ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ANTHONY R PETITO President 401-739-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-08-22 |