| NPI | 1114057825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEKA D REEVES-RUSSELL Dental Health Center Manager 302-657-5176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-07-21 |