PETITO ORAL SURGERY
Organization (NPI-2)
Active
Clinic/Center, Dental
Provider Information
- NPI Number
1134414154- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 400 MASSASOIT AVE SUITE 103, EAST PROVIDENCE, RI, 029142012
- Phone
- (401) 578-1866
- Fax
- (508) 336-6580
Specialties & Taxonomies
Clinic/Center, Dental
Primary License: RI #2552