TIDEWATER LLC

General Practice Dentistry

NPI: 1144884560Organization

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

Contact & Hours

Address: 30320 TRIANGLE DR
CHARLOTTE HALL, MD 20622
Phone: (301) 359-1717

Quick Facts

NPI: 1144884560
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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