| NPI | 1740451285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE A MILLER Manager 302-455-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE 2000104161) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |