| Delaware Oral & Maxillofacial Surgery,llc | |
|
200 Biddle Ave 214 Newark DE 19702-3968 | |
| (302) 595-4642 | |
| (302) 595-4648 |
| Full Name | Delaware Oral & Maxillofacial Surgery,llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 200 Biddle Ave, Newark, Delaware |
| Authorized Official Name and Position | Samuel C Nwogu (ORAL & MAXILLOFACIAL SURGEON/OWNER) |
| Authorized Official Contact | 3025954642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware Oral & Maxillofacial Surgery,llc 200 Biddle Ave 214 Newark DE 19702-3968 Ph: (302) 595-4642 | Delaware Oral & Maxillofacial Surgery,llc 200 Biddle Ave 214 Newark DE 19702-3968 Ph: (302) 595-4642 |
| NPI Number | 1518205137 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 01/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518205137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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