Organization
LAURIE A BIRSCH, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE ANN BIRSCH DDS (CEO)
(757) 398-1234
Entity
Organization
Contact information
Practice address
3413 SOUTH ST, PORTSMOUTH, VA 23707-3219
(757) 398-1234
(757) 393-6353
Mailing address
3413 SOUTH ST, PORTSMOUTH, VA 23707-3219
(757) 398-1234
(757) 393-6353
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410098
VA
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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