NPI | 1629773247 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY EVANS Practice Manager 302-328-6777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2023-04-03 |
Last Update Date | 2024-06-06 |