Bluewave Dentistry
NPI #1124517719 in Leland, North Carolina
Provider Information
- NPI Number
- 1124517719
- Entity Type
- Organization
- Organization Name
- Bluewave Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 9, 2018
- Last Updated
- May 9, 2018
Practice Location
- Address
- 1300 S DICKINSON DR
- City
- Leland
- State
- North Carolina
- ZIP Code
- 28451-6430
- Phone
- (910) 383-2615
Authorized Official
- Name
- KELLY DAVIS
- Title
- PRACTICE MANAGER
- Phone
- (910) 383-2615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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