TIDAL SMILES PEDIATRIC DENTISTRY PLLC

ELIZABETH CITY, NC
NPI1003568072
Entity TypeOrganization
Authorized ContactDANIEL LUKE WINTER
Owner
540-327-6061
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2022-01-21
Last Update Date2022-01-21
Business Address
TIDAL SMILES PEDIATRIC DENTISTRY PLLC
1755 CITY CENTER BLVD UNIT B-2
ELIZABETH CITY, NC 27909-8938
Phone number: 252-251-7900
Mailing Address
TIDAL SMILES PEDIATRIC DENTISTRY PLLC
816 EVELYN WAY
CHESAPEAKE, VA 23322-2488
Phone number: 540-327-6061
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