Organization
VIRGINIA ORTHODONTIC SEPCIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER WAITKUS DDS, MS (DOCTOR)
(757) 340-9020
Entity
Organization
Contact information
Practice address
829 LYNNHAVEN PKWY STE 121, VIRGINIA BEACH, VA 23452-7224
(757) 340-9020
Mailing address
829 LYNNHAVEN PKWY STE 121, VIRGINIA BEACH, VA 23452-7224
(757) 340-9020
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4032
VA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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