Organization
BRENDON E. PRESTWICH, PLLC
Active
Other names
Super Smiles 4 Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDON PRESTWICH DDS (PRESIDENT)
(505) 358-8681
Entity
Organization
Contact information
Practice address
6224 PORTSMOUTH BLVD STE 300, PORTSMOUTH, VA 23701-1351
(757) 500-8500
Mailing address
1370 LITTLE NECK RD, VIRGINIA BEACH, VA 23452-4719
(505) 358-8681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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