Virginia Beach Family Dental PLLC
Dentist, General Practice in Virginia Beach, VA. Organization (NPI-2).
NPI number1801677331
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1801677331
- Entity type
- Organization (NPI-2)
- Legal business name
- Virginia Beach Family Dental PLLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2023
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1658 Pleasure House Rd Ste 106Virginia Beach, VA 23455-4051
Phone 757-383-8970
Mailing address
1658 Pleasure House Rd Ste 106Virginia Beach, VA 23455-4051
Authorized official
Maritza Medina
Office Manager
7574517003
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