| NPI | 1154015444 |
|---|---|
| Doing Business As | DELAWARE SMILE DESIGN |
| Entity Type | Organization |
| Authorized Contact | MARK DELLOSE Dentist 302-998-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-27 |