| NPI | 1265585582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B ETTINGER Physician Oral Surgeon 302-369-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DE C10005329) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DE G10001099) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |