High Tide Dental, PA

NPI #1386018281 in Cape Elizabeth, Maine

Provider Information

NPI Number
1386018281
Entity Type
Organization
Organization Name
High Tide Dental, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 17, 2015
Last Updated
Nov 17, 2015

Practice Location

Address
176 OCEAN HOUSE RD
State
Maine
ZIP Code
04107-1172
Phone
(207) 767-3211

Authorized Official

Name
LUCAS HOMICZ
Title
MANAGER
Phone
(207) 767-3211

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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