Organization
STATE OF DELAWARE
Active
Other names
Kent Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MCCLURE DMD (DENTAL DIRECTOR)
(302) 744-4554
Entity
Organization
Contact information
Practice address
417 FEDERAL ST, DOVER, DE 19901-3635
(302) 744-4548
(302) 739-1613
Mailing address
417 FEDERAL ST, DOVER, DE 19901-3635
(302) 744-4548
(302) 739-1613
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000085948
—
DE
Enumeration date
11/15/2006
Last updated
12/07/2011
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