| NPI | 1891942199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE I LIU Owner 302-478-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0001147) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DE G1-0001180) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |