Peninsula Dental, LLC
Dentist, General Practice in Millsboro, DE. Organization (NPI-2).
NPI number1013145366
StatusActive
Last updated in NPPESJun 25, 2009
Details
- NPI
- 1013145366
- Entity type
- Organization (NPI-2)
- Legal business name
- Peninsula Dental, LLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2009
- Last updated
- Jun 25, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2009603113 | DE | Yes |
Practice location
26670 Centerview Dr Unit 19Millsboro, DE 19966-3584
Phone 302-297-3750
Mailing address
26670 Centerview Dr Unit 19Millsboro, DE 19966-3584
Phone 302-297-3750
Authorized official
John T. Moore
Office Manager
3022973750
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