| NPI | 1932401569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE NIES Owner 302-674-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G1-0000831) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2016-09-13 |