| Dental Center At Waterford | |
|
509 Olde Waterford Way Suite 300 Leland ND 28451-4171 | |
| (910) 383-0100 | |
| (910) 383-0121 |
| Full Name | Dental Center At Waterford |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 509 Olde Waterford Way, Leland, North Dakota |
| Authorized Official Name and Position | Philip Francis Bald (DENTIST-MEMBER MANAGER) |
| Authorized Official Contact | 9102024909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Center At Waterford 509 Olde Waterford Way Suite 300 Leland NC 28451-4171 Ph: (910) 383-0100 | Dental Center At Waterford 509 Olde Waterford Way Suite 300 Leland ND 28451-4171 Ph: (910) 383-0100 |
| NPI Number | 1154695112 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 03/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154695112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8308 (North Carolina) | Primary |