| NPI | 1356533616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MICHAEL COOPER Dentist 302-645-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0001196) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2009-02-05 |