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1952687360
SOUTHERN DELAWARE ASSOCIATES OF DENTAL SPECIALITIES
REHOBOTH BEACH, DE
NPI
1952687360
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Entity Type
Organization
Authorized Contact
OTTO TIDWELL
Owner
215-880-9919
Organization Subpart ?
No
Primary Taxonomy
261QS0112X Clinic/Center, Oral and Maxillofacial Surgery
Enumeration Date
2011-10-30
Last Update Date
2011-10-30
Business Address
SOUTHERN DELAWARE ASSOCIATES OF DENTAL SPECIALITIES
19323 LIGHTHOUSE PLAZA BLVD UNIT 4
REHOBOTH BEACH, DE 19971-6162
Phone number: 215-880-9919
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Mailing Address
SOUTHERN DELAWARE ASSOCIATES OF DENTAL SPECIALITIES
19323 LIGHTHOUSE PLAZA BLVD UNIT 4
REHOBOTH BEACH, DE 19971-6162
Phone number: 215-880-9919
Copy
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