Organization
MICHAEL D. WEBB, DDS, PC
Active
Other names
The Center for Pediatric Dentistry and Sedation
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CUSTO (PRACTICE MANAGER)
(804) 562-2667
Entity
Organization
Contact information
Practice address
10409 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4407
(804) 562-2667
(804) 562-2698
Mailing address
10409 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4407
(804) 562-2667
(804) 562-2698
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401412000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010067669
—
VA
05
—
9177050
—
VA
Enumeration date
08/23/2012
Last updated
08/23/2012
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