| Prosperous, LLC | |
|
25935 Plaza Dr Millsboro DE 19966-6289 | |
| (302) 947-4111 | |
| (302) 595-3149 |
| Full Name | Prosperous, LLC |
|---|---|
| Speciality | Dentist |
| Location | 25935 Plaza Dr, Millsboro, Delaware |
| Authorized Official Name and Position | Mariam Fouzia (MANAGING MEMEBER) |
| Authorized Official Contact | 2675593001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperous, LLC Po Box 1165 Middletown DE 19709-7165 Ph: (267) 559-3001 | Prosperous, LLC 25935 Plaza Dr Millsboro DE 19966-6289 Ph: (302) 947-4111 |
| NPI Number | 1013386697 |
|---|---|
| Provider Enumeration Date | 09/24/2015 |
| Last Update Date | 07/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013386697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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