| NPI | 1164541108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B. NIBOUAR Dentist 302-239-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: DE G1000818) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-06-16 |