Chesapeake Dental Sleep Therapy, LLC
Specialist in Chesapeake, VA. Organization (NPI-2).
NPI number1457741449
StatusActive
Last updated in NPPESJan 28, 2015
Details
- NPI
- 1457741449
- Entity type
- Organization (NPI-2)
- Legal business name
- Chesapeake Dental Sleep Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Jan 28, 2015
- Last updated
- Jan 28, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | VA | Yes |
Practice location
1354 Kempsville RdSuite 101
Chesapeake, VA 23320-1416
Phone 757-548-1611
Mailing address
1354 Kempsville RdSuite 101
Chesapeake, VA 23320-1416
Phone 757-548-1611
Authorized official
Craig W.T. Estrada
Owner
7575481611
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