| NPI | 1912062662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. FORSHEY President 302-322-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0000852) |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2020-08-22 |