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Organization
FDM WAHL DENTAL LLC
Active
Organization
FDM WAHL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T MOORE (MANAGER)
(302) 836-5072
Entity
Organization
Contact information
Practice address
2003 CONCORD PIKE, WILMINGTON, DE 19803-2904
(302) 655-1228
Mailing address
1250 PEOPLES PLZ, NEWARK, DE 19702-5701
(302) 392-2449
(302) 836-2690
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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