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 |