| NPI | 1447929104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROBERT PAOLINO President 302-319-4852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |