| NPI | 1982940086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE CHADSEY Business Manager 401-431-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI 2634) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |