NPI 1669627113 · live from the CMS NPI Registry
Avalon Dental LLC
Dentist, General Practice in Wilmington, DE. National Provider Identifier 1669627113, active.
NPI record
| NPI | 1669627113 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 6 Larch Ave, Unit 402, Wilmington, DE 19804 |
| Practice phone | 302-999-8822 |
| Enumerated | November 25, 2008 |
| Last updated | November 25, 2008 |
| Authorized official | Parham Farhi, Owner Dr. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | G1-0001200 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.