| NPI | 1922318112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS K. RAFETTO President 302-477-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: DE G10000865) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |