| Pediatric Dental Care Of Tidewater Pc | |
|
2029 Lynnhaven Pkwy Virginia Beach VA 23456-1474 | |
| (757) 703-1923 | |
| Not Available |
| Full Name | Pediatric Dental Care Of Tidewater Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2029 Lynnhaven Pkwy, Virginia Beach, Virginia |
| Authorized Official Name and Position | Morgan Trey Weis (OWNER) |
| Authorized Official Contact | 7574848262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Care Of Tidewater Pc 5915 High St W Portsmouth VA 23703-4505 Ph: (757) 484-8262 | Pediatric Dental Care Of Tidewater Pc 2029 Lynnhaven Pkwy Virginia Beach VA 23456-1474 Ph: (757) 703-1923 |
| NPI Number | 1033926662 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033926662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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