NPI | 1922127232 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS LYNN DITTY Owner 302-674-4450 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DE G100093) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2019-11-05 |