| NPI | 1396014023 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VICKIE R. DOBROSKI Business Administrator 302-239-4600  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: DE 1989015241)  | 
| Enumeration Date | 2011-12-27 | 
| Last Update Date | 2011-12-27 |