Organization · NPI-2

Aesthetic And Special Care Associates,pa

Dentist, General Practice · Wilmington, DE

NPI number1154481661
StatusActive
Last updated in NPPESJan 13, 2014

Details

NPI
1154481661
Entity type
Organization (NPI-2)
Legal business name
Aesthetic And Special Care Associates,pa
Organization subpart
No
Enumeration date
Dec 12, 2006
Last updated
Jan 13, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeG10000859 G10001149DEYes

Practice location

2323 Pennsylvania Ave
Lower Level
Wilmington, DE 19806-1332

Phone 302-426-0526 · Fax 302-426-0511

Mailing address

2323 Pennsylvania Ave
Lower Level
Wilmington, DE 19806-1332

Phone 302-482-4444 · Fax 302-482-4446

Authorized official

Keith T Nguyen
Owner
3024824444

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