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Organization

ISLAND DENTAL SPECIALTIES DBA TOOTHWORKS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NADIA BERKITT (OFFICE MANAGER)
(340) 778-3636
Entity
Organization

Contact information

Practice address
4504 ESTATE DIAMOND, SUITE 1-2, CHRISTIANSTED, VI 00820-5214
(340) 778-3636
Mailing address
4504 ESTATE DIAMOND, SUITE 1-2, CHRISTIANSTED, VI 00820-5214
(340) 778-3636

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
V-1858
VI
1223E0200X
Endodontics
Primary
V1221
VI
1223P0300X
Periodontics
1858
VI
1223P0300X
Periodontics
2155
VI

Other

Enumeration date
10/07/2014
Last updated
02/11/2016
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