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 |