FIRST STATE ORAL AND MAXILLOFACIAL SURGERY CORP

DOVER, DE
NPI1922127232
Entity TypeOrganization
Authorized ContactDOUGLAS LYNN DITTY
Owner
302-674-4450
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: DE  G100093)
Enumeration Date2007-03-28
Last Update Date2019-11-05
Business Address
FIRST STATE ORAL AND MAXILLOFACIAL SURGERY CORP
1004 S STATE ST STE 1
DOVER, DE 19901-6901
Phone number: 302-674-4450
Mailing Address
FIRST STATE ORAL AND MAXILLOFACIAL SURGERY CORP
1004 S STATE ST STE 1
DOVER, DE 19901-6901
Phone number: 302-674-4450
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