Organization
ALLSMILES FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEENA MUKKAMALA D.D.S. (OWNER)
(302) 734-5303
Entity
Organization
Contact information
Practice address
95 WOLF CREEK BLVD, SUITE # 3, DOVER, DE 19901-4962
(302) 734-5303
(302) 734-5305
Mailing address
95 WOLF CREEK BLVD, SUITE # 3, DOVER, DE 19901-4962
(302) 734-5303
(302) 734-5305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0001189
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000040831
—
DE
Enumeration date
11/28/2006
Last updated
05/06/2016
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