TIDEWATER LLC

PRINCE FREDERICK, MD
NPI1306359054
Entity TypeOrganization
Authorized ContactDAVID COOPER
Owner
301-862-3900
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2017-11-15
Last Update Date2017-11-15
Business Address
TIDEWATER LLC
700 PRINCE FREDERICK BLVD
PRINCE FREDERICK, MD 20678-3141
Phone number: 410-414-8333
Mailing Address
TIDEWATER LLC
21534 GREAT MILLS RD
LEXINGTON PARK, MD 20653-1204
Phone number: 301-862-3900