NPI | 1821656471 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLIE CERNOBYL Director Of Operations 302-392-2449 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
Enumeration Date | 2019-05-30 |
Last Update Date | 2019-05-30 |