Organization
MID- ATLANTIC DENTAL PARTNERS DELAWARE III, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE ALLEN (CREDENTIALING MANAGER)
(484) 455-4550
Entity
Organization
Contact information
Practice address
4133 OGLETOWN STANTON RD, NEWARK, DE 19713-4168
(484) 455-4550
(484) 284-5102
Mailing address
4133 OGLETOWN STANTON RD, NEWARK, DE 19713-4168
(484) 455-4550
(484) 284-5102
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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