Provider Demographics
NPI:1154733608
Name:DARLINGTON K EROWELE DDS PC
Entity type:Organization
Organization Name:DARLINGTON K EROWELE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARLINGTON
Authorized Official - Middle Name:K
Authorized Official - Last Name:EROWELE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:612-280-7290
Mailing Address - Street 1:24757 GRAND HARBOR DR
Mailing Address - Street 2:233
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0672
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24757 GRAND HARBOR DR
Practice Address - Street 2:233
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0672
Practice Address - Country:US
Practice Address - Phone:612-280-7290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty