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Organization
DELAWARE PERIODONTICS AND IMPLANTS LLC
Active
Organization
DELAWARE PERIODONTICS AND IMPLANTS LLC
Active
Other names
Wilmington Periodontics and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER DANIEL SANZ MOLINER (MEMBER)
(703) 307-7789
Entity
Organization
Contact information
Practice address
2300 PENNSYLVANIA AVE UNIT 5D, WILMINGTON, DE 19806-1392
(302) 652-1533
Mailing address
2300 PENNSYLVANIA AVE UNIT 5D, WILMINGTON, DE 19806-1392
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
G10001370
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275932006
NPI
NJ
Enumeration date
10/12/2017
Last updated
10/12/2017
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