| NPI | 1245403286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P DOUGHERTY Oral Maxillofacial Surgeon 302-239-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-08-04 |