| Kidz Dental, P.c. | |
|
13648 Jefferson Davis Hwy Woodbridge VA 22191-2005 | |
| (571) 921-1111 | |
| Not Available |
| Full Name | Kidz Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13648 Jefferson Davis Hwy, Woodbridge, Virginia |
| Authorized Official Name and Position | Jeremy Hodge (OWNER) |
| Authorized Official Contact | 5719211111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidz Dental, P.c. 13648 Jefferson Davis Hwy Woodbridge VA 22191-2005 Ph: () - | Kidz Dental, P.c. 13648 Jefferson Davis Hwy Woodbridge VA 22191-2005 Ph: (571) 921-1111 |
| NPI Number | 1336561315 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 01/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336561315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401413527 (Virginia) | Primary |
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