| NPI | 1134231509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY WILSON BRAFMAN Dentist 302-732-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1125) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DE G1102) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |