Organization
PARDEEP KAUR DDS PLLC
Active
Other names
Coastal Orthodontics, Wexel Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
PARDEEP KAUR (OWNER)
(757) 681-8181
Entity
Organization
Contact information
Practice address
548 BATTLEFIELD BLVD S, CHESAPEAKE, VA 23322-5363
(757) 681-8181
Mailing address
2140 GREAT NECK SQ, VIRGINIA BEACH, VA 23454-2202
(757) 681-8181
(757) 900-9951
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040141574
DENTAL LICENSE
VA
01
—
1679867824
INDIVIDUAL NPI
—
Enumeration date
09/07/2022
Last updated
08/04/2023
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