| NPI | 1427066059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY R. HALL Office Manager 302-732-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1000962) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-01-07 |