Organization
MID-ATLANTIC CENTER FOR ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SPENCER DDS (OWNER)
(302) 629-3588
Entity
Organization
Contact information
Practice address
8466 HERRING RUN RD, SUITE D, SEAFORD, DE 19973-5763
(302) 629-3588
(302) 629-0440
Mailing address
8466 HERRING RUN RD, SUITE D, SEAFORD, DE 19973-5763
(302) 629-3588
(302) 629-0440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
DE
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
DE
Other
Enumeration date
11/11/2016
Last updated
03/16/2017
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