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Organization
TIDE DENTAL CORPUS CHRISTI PLLC
Active
Organization
TIDE DENTAL CORPUS CHRISTI PLLC
Active
Other names
Tide Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1312 AIRLINE ROAD, CORPUS CHRISTI, TX 78412
(361) 994-4867
(361) 994-1655
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
(972) 590-8809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/02/2022
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