Organization
ALL KIDS DENTAL OF SUFFOLK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WILSON DDS (PEDIATRIC DENTIST)
(757) 922-8110
Entity
Organization
Contact information
Practice address
2999 CORPORATE LN, SUITE B-8, SUFFOLK, VA 23434-8478
(804) 267-0727
Mailing address
2999 CORPORATE LANE, SUITE B-8, SUFFOLK, VA 23434
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
04/06/2017
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