NPI | 1245384460 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA C PIKE Treasurer 302-239-0303 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE 1989020002) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |