| NPI | 1437415650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARIS O'CONNOR President 302-678-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: DE G1-0001305) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |