Organization
GENTLE CARE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIEVE O RODRIGUEZ D.M.D (DENTIST)
(302) 655-5862
Entity
Organization
Contact information
Practice address
1021 GILPIN AVE, WILMINGTON, DE 19806-3270
(302) 655-5862
(302) 655-5897
Mailing address
1021 GILPIN AVE, WILMINGTON, DE 19806-3270
(302) 655-5862
(302) 655-5897
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0001185
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001886759
UNITED CONCORDIA
DE
05
—
1467546556
—
DE
Enumeration date
06/24/2009
Last updated
06/24/2009
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