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Individual

DR. GARY D. ISAACS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
830 N SPRUCE ST, WILMINGTON, DE 19801-4200
(302) 652-8947
Mailing address
830 N SPRUCE ST, WILMINGTON, DE 19801-4200
(302) 652-8947

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0001133
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G1-0001133
STATE DENTAL LICENSE NUMBER
DE
Enumeration date
11/06/2008
Last updated
11/06/2008
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