| Delaware Periodontics, P.a. | |
|
1110 N Bancroft Pkwy Wilmington DE 19805-2669 | |
| (302) 658-7871 | |
| (302) 652-1174 |
| Full Name | Delaware Periodontics, P.a. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1110 N Bancroft Pkwy, Wilmington, Delaware |
| Authorized Official Name and Position | Bradford L Klassman (OWNER/CORPORATION) |
| Authorized Official Contact | 3026587871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware Periodontics, P.a. 1110 N Bancroft Pkwy Wilmington DE 19805-2669 Ph: (302) 658-7871 | Delaware Periodontics, P.a. 1110 N Bancroft Pkwy Wilmington DE 19805-2669 Ph: (302) 658-7871 |
| NPI Number | 1356476279 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 04/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356476279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (Delaware) | Primary |
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