| NPI | 1154339075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACHAEL L CAHOON Owner/Pres/Dr 302-644-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DE G1-0000944) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-05-27 |