Organization
THEODORE LIMERICK, DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE LIMERICK DDS (OWNER)
(336) 794-2813
Entity
Organization
Contact information
Practice address
1027 HANES MALL BLVD, WINSTON SALEM, NC 27103-1310
(336) 794-2813
Mailing address
1027 HANES MALL BLVD, WINSTON SALEM, NC 27103-1310
(336) 794-2813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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