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Organization
DR DANIEL M ETHERIDGE DDS LTD
Active
Organization
DR DANIEL M ETHERIDGE DDS LTD
Active
Other names
Greenbrier Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL M ETHERIDGE DDS (PRESIDENT)
(757) 547-2266
Entity
Organization
Contact information
Practice address
1059 EDEN WAY N STE 100, CHESAPEAKE, VA 23320-2789
(757) 547-2266
Mailing address
1059 EDEN WAY N STE 100, CHESAPEAKE, VA 23320-2789
(757) 547-2266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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