| NPI | 1366577710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED LEE WRIGHT President 302-239-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0000866) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |