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NPI Code Detail

MEDICARE: LEE T WEINSTEIN D.D.S

MEDICARE: LEE T WEINSTEIN D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist0401007794VA

General Provider Information

NPI Number : 1588676563
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE T WEINSTEIN D.D.S
Provider Business Mailing Address
First Line : 300 E LITTLE CREEK RD
Second Line :
City : NORFOLK
State : VA
Zip : 23505-2603
Country : US
Telephone Number : 757-962-6769
Fax Number : 757-410-2658
Provider Business Practice Location Address
First Line : 300 E LITTLE CREEK RD
Second Line :
City : NORFOLK
State : VA
Zip : 23505-2603
Country : US
Telephone Number : 757-962-6769
Fax Number : 757-410-2658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 07/08/2007

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