| NPI | 1922422435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWIN BROWN Owner 302-999-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0001040) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DE G1-0001216) |
| 1223G0001X Dentist, General Practice (Licence: DE G1-0001011) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-03-06 |