Organization
TIDAL SMILES PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LUKE WINTER DDS (PEDIATRIC DENTIST, OWNER)
(757) 482-4777
Entity
Organization
Contact information
Practice address
350 JOHNSTOWN RD STE C, CHESAPEAKE, VA 23322-5365
(757) 482-4777
Mailing address
350 JOHNSTOWN RD STE C, CHESAPEAKE, VA 23322-5365
(757) 482-4777
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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