Organization
CDH DELAWARE ORTHODONTICS, LLC
Active
Parent organization
CHILDREN'S DENTAL HEALTH OF DELAWARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S DENTAL HEALTH OF DELAWARE, LLC
Authorized official
PHI LE (CREDENTIALING CONTRACTS MANAGER)
(267) 575-2321
Entity
Organization
Contact information
Practice address
3301 LANCASTER PIKE, WILMINGTON, DE 19805-1436
(302) 803-6560
(302) 803-6561
Mailing address
300 WILLOWBROOK LN STE 330, WEST CHESTER, PA 19382-5594
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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