SOUTHERN DELAWARE ASSOCIATES OF DENTAL SPECIALITIES

REHOBOTH BEACH, DE
NPI1952687360
Entity TypeOrganization
Authorized ContactOTTO TIDWELL
Owner
215-880-9919
Organization Subpart ?No
Primary Taxonomy261QS0112X Clinic/Center, Oral and Maxillofacial Surgery
Enumeration Date2011-10-30
Last Update Date2011-10-30
Business Address
SOUTHERN DELAWARE ASSOCIATES OF DENTAL SPECIALITIES
19323 LIGHTHOUSE PLAZA BLVD UNIT 4
REHOBOTH BEACH, DE 19971-6162
Phone number: 215-880-9919
Mailing Address
SOUTHERN DELAWARE ASSOCIATES OF DENTAL SPECIALITIES
19323 LIGHTHOUSE PLAZA BLVD UNIT 4
REHOBOTH BEACH, DE 19971-6162
Phone number: 215-880-9919