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Organization

LOUIE PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILLIP JAMES LOUIE DMD (OWNER)
(302) 674-5437
Entity
Organization

Contact information

Practice address
250 BEISER BLVD STE 101, DOVER, DE 19904-7795
(302) 674-5437
(302) 672-9091
Mailing address
250 BEISER BLVD STE 101, DOVER, DE 19904-7795
(302) 674-5437
(302) 672-9091

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223P0221X
Pediatric Dentistry

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200108804
DE
Enumeration date
02/14/2023
Last updated
01/24/2024
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