Organization
PEDIATRIC DENTAL CARE OF TIDEWATER PC
Active
Parent organization
PEDIATRIC DENTAL CARE OF TIDEWATER PC
Other names
Weis Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC DENTAL CARE OF TIDEWATER PC
Authorized official
MORGAN TREY WEIS (OWNER)
(757) 484-8262
Entity
Organization
Contact information
Practice address
2029 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23456-1474
(757) 703-1923
Mailing address
5915 HIGH ST W, PORTSMOUTH, VA 23703-4505
(757) 484-8262
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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