Organization
MAPLEWOOD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LUCKENBAUGH (DOCTOR/OWNER OF THE PRACTICE)
(302) 645-6671
Entity
Organization
Contact information
Practice address
18913 JOHN J WILLIAMS HWY, REHOBOTH BEACH, DE 19971-4404
(302) 645-6671
(302) 645-6671
Mailing address
18913 JOHN J WILLIAMS HWY, REHOBOTH BEACH, DE 19971-4404
(302) 645-6671
(302) 645-6671
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
769
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000893308
—
DE
Enumeration date
03/01/2007
Last updated
09/15/2022
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