Organization
TIDEWATER DENTAL STUDIO PLLC
Active
Other names
Tidewater Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA MARIE S. ACOSTA-SASSOON DDS (OWNER)
(757) 499-8139
Entity
Organization
Contact information
Practice address
4867 BAXTER RD STE 101, VIRGINIA BEACH, VA 23462-4469
(757) 499-8139
(757) 473-8816
Mailing address
4867 BAXTER RD STE 101, VIRGINIA BEACH, VA 23462-4469
(757) 499-8139
(757) 473-8816
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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