| NPI | 1225187115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CORBIN DIRECTOR President 302-658-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: DE G1-0000860) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |