| NPI | 1902935000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR L. GREGORY Employer 302-239-1827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G10001003) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |