| NPI | 1821159898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J WAHL President 302-655-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |