| NPI | 1265248546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PENNA President 302-998-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |