NPI | 1396905550 |
---|---|
Entity Type | Organization |
Authorized Contact | CLIFFORD L. ANZILOTTI President 302-475-2050 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: DE 1990015088) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2008-06-11 |