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Organization

BRANDYWINE PEDIATRIC DENTISTRY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JILL L GARRIDO DDS (PEDIATRIC DENTIST)
(302) 475-3110
Entity
Organization

Contact information

Practice address
2000 FOULK RD STE C, WILMINGTON, DE 19810-3642
(302) 475-3110
(302) 475-5206
Mailing address
2000 FOULK RD STE C, WILMINGTON, DE 19810-3642
(302) 475-3110

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003109877
DE
Enumeration date
03/22/2019
Last updated
11/25/2019
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