Organization
DVH DENTAL SUITE
Active
Parent organization
STATE OF DELAWARE
Other names
Delaware Veterans Home Dental Suite
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF DELAWARE
Authorized official
JOHN CLIFTON CANNON (REGULATORY SPECIALIST)
(302) 424-8533
Entity
Organization
Contact information
Practice address
100 DELAWARE VETERANS BLVD, MILFORD, DE 19963-5395
(302) 424-8533
Mailing address
100 DELAWARE VETERANS BLVD, MILFORD, DE 19963-5395
(302) 424-8533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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