| NPI | 1114088622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEENA REDDY Doctor 302-998-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0001201) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |