| NPI | 1952661902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER F. SUBACH President 302-995-1870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DE G10001087) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |