| NPI | 1962923839 |
|---|---|
| Doing Business As | TIDEWATER DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMES REED WILLIAMSON Owner 843-873-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2021-01-13 |