NPI | 1720420532 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BATTISTA FONTANA Manager 302-734-1950 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: DE G1-0001312) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2013-07-22 |