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Contact Information

AVALON DENTAL LLC
6 LARCH AVE
UNIT 402
WILMINGTON, DE19804-2300
 Phone: 302-999-8822
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AVALON DENTAL LLC · (Female)

NPI Number 1669627113
Status Active
Credentials
Entity Individual
Enumeration date 11/25/2008
Last updated 11/25/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • DE License # G1-0001200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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