Organization
ENDODONTIC ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CORBIN DIRECTOR D.D.S. (PRESIDENT)
(302) 658-7358
Entity
Organization
Contact information
Practice address
1110 N BANCROFT PKWY, WILMINGTON, DE 19805-2669
(302) 658-7358
(302) 655-5328
Mailing address
1110 N BANCROFT PKWY, WILMINGTON, DE 19805-2669
(302) 658-7358
(302) 655-5328
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
G1-0000860
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000892031
—
DE
Enumeration date
01/09/2007
Last updated
08/22/2020
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