| NPI | 1902667587 |
|---|---|
| Doing Business As | HIGH TIDE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MELISSA CONNELL Owner 312-848-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2026-07-10 |