| NPI | 1992822787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH J. YOST President Dentist 302-477-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: DE G1-00000989) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2014-10-06 |