Organization
FIRST STATE DENTAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. D MICHAEL GIOFFRE JR. D.D.S. (OWNER/PRESIDENT)
(302) 652-5312
Entity
Organization
Contact information
Practice address
1702 LOVERING AVE, WILMINGTON, DE 19806-2141
(302) 652-5312
(302) 652-8674
Mailing address
1702 LOVERING AVE, WILMINGTON, DE 19806-2141
(302) 652-5312
(302) 652-8674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235261322
—
DE
Enumeration date
03/12/2007
Last updated
06/18/2021
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