| NPI | 1851408579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R. DEAKYNE President 302-653-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE 785) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |