State of Delaware

NPI #1598837361 in Dover, Delaware

Provider Information

NPI Number
1598837361
Entity Type
Organization
Organization Name
State of Delaware
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 15, 2006
Last Updated
Dec 6, 2011

Practice Location

Address
417 FEDERAL ST
City
Dover
ZIP Code
19901-3635
Phone
(302) 744-4548

Authorized Official

Name
GREGORY B MCCLURE, DMD
Title
DENTAL DIRECTOR
Phone
(302) 744-4554

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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