| NPI | 1407170608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARAL TUSHAR MEHTA Partner 302-442-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0001263) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DE G1-0001265) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |