Organization
DAVID DIEU DMD, MD, PA
Active
Other names
Premier Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HAN DIEU DMD, MD (PRESIDENT)
(302) 273-8300
Entity
Organization
Contact information
Practice address
1202 FOULK ROAD, WILMINGTON, DE 19803
(302) 273-8300
Mailing address
1202 FOULK ROAD, WILMINGTON, DE 19803
(302) 273-8300
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
G1-0001324
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102705221000
—
PA
Enumeration date
02/08/2016
Last updated
03/16/2016
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