NPI 1497896682 · live from the CMS NPI Registry
Avalon Dental LLC
Dentist, General Practice in Wilmington, DE. National Provider Identifier 1497896682, active.
NPI record
| NPI | 1497896682 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 301 S Old Dupont Rd, Ste A, Wilmington, DE 19804 |
| Practice phone | 302-998-9244 |
| Enumerated | February 9, 2007 |
| Last updated | July 2, 2008 |
| Authorized official | Parham Farhi, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | g1-10001200 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.