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Organization

WILMINGTON PEDIATRIC DENTISTRY PA

Active
Other names
Wilmington Pediatric Dentistry PA
Organization subpart
No

Provider details

NPI number
Authorized official
LIDA ALIMORAD DDS (PROVIDER/OWNER)
(301) 641-7143
Entity
Organization

Contact information

Practice address
WILMINGTON PEDIATRIC DENTISTRY, 3105 LIMESTONE RD SUITE 305, WILMINGTON, DE 19808
(302) 933-9900
Mailing address
WILMINGTON PEDIATRIC DENTISTRY, 3105 LIMESTONE RD SUITE 305, WILMINGTON, DE 19808
(302) 933-9900

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
261QD0000X
Dental Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
800000233
MD
Enumeration date
02/15/2023
Last updated
02/15/2023
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