| Peninsula Dental, Llc | |
|
26670 Centerview Dr Unit 19 Millsboro DE 19966-3584 | |
| (302) 297-3750 | |
| Not Available |
| Full Name | Peninsula Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26670 Centerview Dr Unit 19, Millsboro, Delaware |
| Authorized Official Name and Position | John T. Moore (OFFICE MANAGER) |
| Authorized Official Contact | 3022973750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Dental, Llc 26670 Centerview Dr Unit 19 Millsboro DE 19966-3584 Ph: (302) 297-3750 | Peninsula Dental, Llc 26670 Centerview Dr Unit 19 Millsboro DE 19966-3584 Ph: (302) 297-3750 |
| NPI Number | 1013145366 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013145366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2009603113 (Delaware) | Primary |
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