Dr Daniel M Etheridge DDS Ltd

NPI #1003942012 in Chesapeake, Virginia

Provider Information

NPI Number: 1003942012
Entity Type: Organization
Organization Name: Dr Daniel M Etheridge DDS Ltd
Primary Specialty: Dentist
Enumeration Date: Feb 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1059 EDEN WAY N STE 100
City: Chesapeake
State: Virginia
ZIP Code: 23320-2789
Phone: (757) 547-2266

Authorized Official

Name: DR. DANIEL M ETHERIDGE, DDS
Title: PRESIDENT
Phone: (757) 547-2266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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