| NPI | 1588492888 |
|---|---|
| Other Name | DELAWARE VETERANS HOME DENTAL SUITE |
| Entity Type | Organization |
| Authorized Contact | JOHN CLIFTON CANNON Regulatory Specialist 302-424-8533 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |