| Southern De Associates Of Oral & Maxillofacial Surgery | |
|
126 West Front St. Frederica DE 19946 | |
| (302) 335-2601 | |
| (302) 335-2603 |
| Full Name | Southern De Associates Of Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 126 West Front St., Frederica, Delaware |
| Authorized Official Name and Position | Allison Kowalchick (OFFICE MANAGER) |
| Authorized Official Contact | 3026447654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern De Associates Of Oral & Maxillofacial Surgery Po Box 266 Frederica DE 19946-0266 Ph: (302) 335-2601 | Southern De Associates Of Oral & Maxillofacial Surgery 126 West Front St. Frederica DE 19946 Ph: (302) 335-2601 |
| NPI Number | 1063744795 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 02/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063744795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2010600241 (Delaware) | Primary |