Organization
DELAWARE PERIODONTICS AND IMPLANTS LLC
Active
Other names
Wilmington Periodontics and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER DANIEL SANZ MOLINER (MEMBER)
(703) 307-7789
Entity
Organization
Contact information
Practice address
2300 PENNSYLVANIA AVE UNIT 5D, WILMINGTON, DE 19806-1392
(302) 652-1533
Mailing address
2300 PENNSYLVANIA AVE UNIT 5D, WILMINGTON, DE 19806-1392
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
G10001370
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275932006
NPI
NJ
Enumeration date
10/12/2017
Last updated
10/12/2017
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