Organization
FREDERICK T. BIRSCH, DDS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK THOMAS BIRSCH DDS (PRESIDENT)
(757) 393-9929
Entity
Organization
Contact information
Practice address
3413 SOUTH ST, PORTSMOUTH, VA 23707-3219
(757) 393-9929
(757) 393-6353
Mailing address
3413 SOUTH ST, PORTSMOUTH, VA 23707-3219
(757) 393-9929
(757) 393-6353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004057
VA
Other
Enumeration date
12/21/2006
Last updated
05/07/2008
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