| NPI | 1326306283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TODD ROSEN President/Dentist 302-994-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0000929) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |