Tidewater Dental Center, Pllc
NPI #1275789950 in Norfolk, Virginia
Provider Information
- NPI Number
- 1275789950
- Entity Type
- Organization
- Organization Name
- Tidewater Dental Center, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 13, 2008
- Last Updated
- Aug 13, 2008
Practice Location
Authorized Official
- Name
- MS. AMY D FORD
- Title
- VICE PRESIDENT OF OPERATIONS
- Phone
- (757) 622-4245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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