| NPI | 1801938956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE R COLLINS Dentist 302-239-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G1-0000748) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-06-16 |