| NPI | 1952432486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT MCALLISTER Owner 302-376-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE g10001043) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |