| NPI | 1760855951 |
|---|---|
| Doing Business As | TIMBERLAKE PEDIATRIC DENTISTRY AND BEHL ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ALEKSANDRA SOLDO Administrator 757-240-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410912) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401412905) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |