| 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 |