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 |