Seaside Dental Pllc

NPI #1669896932 in Waco, Texas

Provider Information

NPI Number: 1669896932
Entity Type: Organization
Organization Name: Seaside Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 7, 2014
Last Updated: Feb 7, 2014

Practice Location

Address: 1821 S VALLEY MILLS DR STE 195
City: Waco
State: Texas
ZIP Code: 76711-2119
Phone: (512) 436-8041

Authorized Official

Name: KYLE RAYMOND, DDS
Title: OWNER
Phone: (512) 436-8041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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