NPI 1982302964 · live from the CMS NPI Registry
Crystal Clear Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Wilmington, DE. National Provider Identifier 1982302964, active.
NPI record
| NPI | 1982302964 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1805 Foulk Rd Ste Candd, Wilmington, DE 19810 |
| Practice phone | 917-626-6920 |
| Enumerated | February 20, 2023 |
| Last updated | May 13, 2023 |
| Authorized official | Aesha Chaudhry, Doctor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.