| NPI | 1548431166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON ERIC PHILLIPS President 302-540-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 8512) |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2008-03-23 |