THOMAS EDWIN LIDE

GREENVILLE, SC
NPI1407113855
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: SC  969)
Enumeration Date2012-04-23
Last Update Date2012-04-23
Business Address
-- THOMAS EDWIN LIDE D.D.S.
415 PIMLICO RD
GREENVILLE, SC 29607-3305
Phone number: 864-288-6050
Mailing Address
-- THOMAS EDWIN LIDE D.D.S.
415 PIMLICO RD
GREENVILLE, SC 29607-3305
Phone number: 864-288-6050