| NPI | 1457895849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ROBINSON Owner,Dentist 302-239-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE G1-0001317) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |