NPI | 1881290211 |
---|---|
Doing Business As | SEASIDE CHILDREN'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANDREW WEAVER Administrator 904-395-7772 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2020-12-10 |
Last Update Date | 2023-03-20 |