NPI | 1316534076 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN ROBINSON Owner 302-299-5617 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-12-29 |
Last Update Date | 2022-01-05 |