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Organization
SEASIDE DENTAL PLLC
Active
Organization
SEASIDE DENTAL PLLC
Active
Other names
Waco Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE RAYMOND DDS (OWNER)
(512) 436-8041
Entity
Organization
Contact information
Practice address
1821 S VALLEY MILLS DR STE 195, WACO, TX 76711-2119
(512) 436-8041
Mailing address
1821 S VALLEY MILLS DR STE 195, WACO, TX 76711-2119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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