Organization
PIKE CREEK DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN ROBINSON DDS (OWNER,DENTIST)
(302) 239-0410
Entity
Organization
Contact information
Practice address
4901 LIMESTONE RD, SUITE #1, WILMINGTON, DE 19808-1271
(302) 239-0410
Mailing address
4901 LIMESTONE RD, SUITE #1, WILMINGTON, DE 19808-1271
(302) 239-0410
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
G1-0001317
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396181970
—
DE
Enumeration date
12/05/2016
Last updated
12/05/2016
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