| NPI | 1861710931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E MATTHEWS President 302-234-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DE G10001222) |
| Additional Taxonomies | 122300000X Dentist (Licence: DE G10000855) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G10001247) | |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |