TIDEWATER LLC

Dentist

Active Organization
NPI: 1306359054

Practice Address

700 PRINCE FREDERICK BLVD
Prince Frederick, MD 20678

Phone: (410) 414-8333

Specialties

Specialty Code Primary License
Dentist 122300000X Yes -

Frequently Asked Questions

NPI 1306359054 is the National Provider Identifier for TIDEWATER LLC, a Dentist provider located in Prince Frederick, MD. This NPI was enumerated on November 15, 2017.

Quick Facts

NPI
1306359054
Type
Organization
Enumerated
Nov 15, 2017
Last Updated
Nov 15, 2017

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