NPI | 1659859593 |
---|---|
Doing Business As | PIERRE TOUSSAINT DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | TAWANA M. MEDLIN Dentist Program Director 302-222-6269 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0001168) |
Enumeration Date | 2018-08-02 |
Last Update Date | 2018-08-02 |