| NPI | 1144355173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R MULLEN Owner 302-629-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G1000885) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |