NPI 1013386697

Prosperous, LLC

Organisation Dentist Millsboro, DE

Practice location

Address: 25935 Plaza Dr, Millsboro, DE 19966-6289
Phone: (302) 947-4111
Fax: (302) 595-3149
Mailing address: PO Box 1165, Middletown, DE 19709-7165

Authorised official

Name: Mariam Fouzia
Title: Managing Memeber
Phone: (267) 559-3001

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1013386697
Entity type: Organization
NPI issued: 24 Sep 2015
Record last updated: 8 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.