| NPI | 1558452177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KING Owner 302-998-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DE Gi-0001107) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-07-25 |