Organization
BEHL ORTHODODNTICS
Active
Other names
Timberlake Pediatric Dentistry and Behl Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDRA SOLDO (ADMINISTRATOR)
(757) 240-5711
Entity
Organization
Contact information
Practice address
4291 HOLLAND RD, STE. 112, VIRGINIA BEACH, VA 23452-1939
(757) 918-7945
Mailing address
446 EFFINGHAM ST, PORTSMOUTH, VA 23704-3464
(757) 325-9959
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410912
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401412905
VA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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