Dental Center At Waterford | |
509 Olde Waterford Way Suite 300 Leland ND 28451-4171 | |
(910) 383-0100 | |
(910) 383-0121 |
Full Name | Dental Center At Waterford |
---|---|
Speciality | Dentist - General Practice |
Location | 509 Olde Waterford Way, Leland, North Dakota |
Authorized Official Name and Position | Philip Francis Bald (DENTIST-MEMBER MANAGER) |
Authorized Official Contact | 9102024909 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Center At Waterford 509 Olde Waterford Way Suite 300 Leland NC 28451-4171 Ph: (910) 383-0100 | Dental Center At Waterford 509 Olde Waterford Way Suite 300 Leland ND 28451-4171 Ph: (910) 383-0100 |
NPI Number | 1154695112 |
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Provider Enumeration Date | 03/08/2012 |
Last Update Date | 03/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154695112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8308 (North Carolina) | Primary |
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