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 |