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1407113855
THOMAS EDWIN LIDE
GREENVILLE, SC
NPI
1407113855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: SC 969)
Enumeration Date
2012-04-23
Last Update Date
2012-04-23
Business Address
-- THOMAS EDWIN LIDE D.D.S.
415 PIMLICO RD
GREENVILLE, SC 29607-3305
Phone number: 864-288-6050
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Mailing Address
-- THOMAS EDWIN LIDE D.D.S.
415 PIMLICO RD
GREENVILLE, SC 29607-3305
Phone number: 864-288-6050
Copy
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