Organization
BLUE DIAMOND DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT JAMES DANIELS DMD (DENTIST)
(302) 655-8387
Entity
Organization
Contact information
Practice address
2300 PENNSYLVANIA AVE, SUITE 2C, WILMINGTON, DE 19806-1392
(302) 655-8387
(302) 654-7162
Mailing address
2300 PENNSYLVANIA AVE, SUITE 2C, WILMINGTON, DE 19806-1392
(302) 655-8387
(302) 654-7162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1084
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021630
—
DE
Enumeration date
02/21/2007
Last updated
08/22/2020
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