Organization
JOOSSE FAMILY ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WALLACE JOOSSE DMD (OWNER)
(757) 876-9593
Entity
Organization
Contact information
Practice address
1116 PROFESSIONAL DR STE A, WILLIAMSBURG, VA 23185-3378
(757) 229-4181
(757) 221-7233
Mailing address
4068 AMBASSADOR CIR, WILLIAMSBURG, VA 23188-1449
(757) 876-9593
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
12/04/2018
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