Organization
DELMARVA PROSTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER DAVID BURNS DDS (PRESIDENT OWNER)
(302) 674-8331
Entity
Organization
Contact information
Practice address
871 S GOVERNORS AVE, SUITE 1, DOVER, DE 19904-4115
(302) 674-8331
(302) 674-4342
Mailing address
871 S GOVERNORS AVE, SUITE 1, DOVER, DE 19904-4115
(302) 674-8331
(302) 674-4342
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
1006
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001058231
—
DE
Enumeration date
03/31/2006
Last updated
08/22/2020
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