| NPI | 1558766097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANU MOHAN SACHDEV Manager 302-290-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN18942) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |