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Dental Providers Dentist Orthodontics and Dentofacial Orthopedics

Provider NPI: 1215195169

Organization Information:
Organization is not Subpart
Authorized Official:  DAN  ROMANI  MANAGER  401-568-1188

Practice Location:
Tel: 401-568-1188  Fax: --

Business Mailing Address:
Tel: 401-568-1188  Fax: --

NPI Information:
NPI: 1215195169
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Orthodontics and Dentofacial Orthopedics

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 1223X0400X





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