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Organization

SMYRNA DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAMA L YERNENI D.M.D (PRESIDENT)
(302) 223-6194
Entity
Organization

Contact information

Practice address
200 S DUPONT BLVD, SUITE 103, SMYRNA, DE 19977-1552
(302) 223-6194
Mailing address
200 S DUPONT BLVD, SUITE 103, SMYRNA, DE 19977-1552
(302) 223-6194

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G10001233
DE

Other

Enumeration date
10/07/2008
Last updated
10/07/2008
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