Southern Delaware Associates of Dental Specialities
Southern Delaware Associates of Dental Specialities is an Oral and Maxillofacial Surgery Clinic/Center in Rehoboth Beach, Delaware. Licensed in Delaware. Registered with an NPI since 2011.
- Licensed in
- DE
- In the registry since
- 2011
Practice location Address checks out
19323 Lighthouse Plaza Blvd Unit 4Rehoboth Beach, DE 19971-6162
Phone: (215) 880-9919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X (DE) |
|---|
Record details
| NPI number | 1952687360 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Otto Tidwell — Owner · (215) 880-9919 |
| NPI enumerated | October 30, 2011 |
| Last updated in NPPES | October 30, 2011 |
| Mailing address | 19323 Lighthouse Plaza Blvd, Unit 4, Rehoboth Beach, DE 19971-6162 |