Organization
THE LIFE CENTER COMPLEX, INC
Active
Other names
The Life Health Center Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FORREST WATSON III (CEO)
(302) 407-5316
Entity
Organization
Contact information
Practice address
812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
(302) 407-5316
(302) 407-5307
Mailing address
812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
(302) 407-5316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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