| NPI | 1740235449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE MICHAEL DAMICO President 302-292-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DE G1-0000952) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-02-09 |