| NPI | 1235368051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND L. PARA Owner 302-234-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE g10001243) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC g10000955) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-20 |