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 | (* (Not Available)) | Primary |
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