| NPI | 1184166803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SPENCER Owner 302-629-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2017-03-16 |