| NPI | 1699861963 |
|---|---|
| Former Legal Business Name | PHILLIPS BURNS & BAUSCH PA |
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM BAUSCH President Owner 302-422-6924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE 1991836116) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |