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11747 Jefferson Ave Suite 5c Newport News VA 23606-1998 | |
| (757) 595-9979 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 11747 Jefferson Ave, Newport News, Virginia |
| Authorized Official Name and Position | Allen Mcgill (DENTIST) |
| Authorized Official Contact | 7575959979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11747 Jefferson Ave Suite 5c Newport News VA 23606-1998 Ph: () - | 11747 Jefferson Ave Suite 5c Newport News VA 23606-1998 Ph: (757) 595-9979 |
| NPI Number | 1124491428 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 11/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124491428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401005172 (Virginia) | Primary |
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