NPI | 1144365271 |
---|---|
Former Legal Business Name | CAMDEN DENTISTRY LLC |
Entity Type | Organization |
Authorized Contact | ALVIS DUANE BURRIS Owner 302-697-3125 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: DE 1179) |
Additional Taxonomies | 122300000X Dentist (Licence: DE 949) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2019-01-16 |