NPI | 1629379805 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT M COLLINS President 302-239-3656 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G1-0001146) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2010-11-04 |