NPI | 1386966059 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN M GRANDISON President 302-222-8106 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: DE G1-0001161) |
Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: DE G4-0001201) |
Enumeration Date | 2010-02-23 |
Last Update Date | 2010-02-23 |