| 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 |