| NPI | 1851439111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J CLAY General Dentistry 302-998-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE DE934) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: DE DE942) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |