| NPI | 1619054129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE E. MATTHEWS President 302-475-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0000855) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |