Tidewater Dental Center, Pllc

NPI 1275789950 - Dentist - 1223G0001X

NPI Details
NPI 1275789950
Enumeration Date 08/13/2008
Last Updated 08/13/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name AMY D AMY
Position VICE PRESIDENT OF OPERATIONS
Phone (757) 622-4245
Fax (757) 622-3722
Practice Location
425 W 20TH ST
3
NORFOLK VA, 23517-2128, US
Phone (757) 622-4245
Fax (757) 622-3722
Business Location
425 W 20TH ST
3
NORFOLK VA, 23517-2128, US
Phone (757) 622-4245
Fax (757) 622-3722
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401411261
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According to our database, Tidewater Dental Center, Pllc NPI is 1275789950, taxonomy code is 1223G0001X and license number is 0401411261, license state is located at Virginia. Tidewater Dental Center, Pllc physically located at 425 W 20th St, Norfolk VA, 23517-2128. NPI Number 1033115704 has the healthcare provider type.

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1275789950 NPI number is provided on an as is basis without warranty of any kind. 1275789950 is maintained by the National Plan & Provider Enumeration System. The contents of Tidewater Dental Center, Pllc are for informational purposes only.