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Contact Information

AVALON DENTAL LLC
301 S OLD DUPONT RD
STE A
WILMINGTON, DE19804-0000
 Phone: 302-998-9244
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AVALON DENTAL LLC

NPI # 1497896682
LBN Legal business name AVALON DENTAL LLC
Authorized official PARHAM FARHI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/09/2007
Last updated 07/02/2008 - About 18 years ago
Identifiers
DE License # G1-10001200
DE Medicaid 1000038597
DE Medicaid 1000040450
DE Medicaid 1000040646
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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