Organization
RICHARD E. CHODROFF, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E. CHODROFF D.M.D. (OWNER)
(302) 995-6979
Entity
Organization
Contact information
Practice address
3105 LIMESTONE RD, SUITE 203, WILMINGTON, DE 19808-2147
(302) 995-6979
(302) 995-6645
Mailing address
3105 LIMESTONE RD, SUITE 203, WILMINGTON, DE 19808-2147
(302) 995-6979
(302) 995-6645
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
914
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000881108
—
DE
Enumeration date
07/24/2006
Last updated
08/22/2020
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