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110 Kingsley Ln Suite 203 Norfolk VA 23505-4614 | |
| (757) 489-4221 | |
| (757) 423-5930 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 110 Kingsley Ln, Norfolk, Virginia |
| Authorized Official Name and Position | David Trout Marshall (DENTIST) |
| Authorized Official Contact | 7574894221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
110 Kingsley Ln Suite 203 Norfolk VA 23505-4614 Ph: (757) 489-4221 | 110 Kingsley Ln Suite 203 Norfolk VA 23505-4614 Ph: (757) 489-4221 |
| NPI Number | 1184961690 |
|---|---|
| Provider Enumeration Date | 01/04/2013 |
| Last Update Date | 01/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184961690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401007417 (Virginia) | Primary |
James H Boyd Jr Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 E Brambleton Avenue, Ste 9, Norfolk, VA 23510 Phone: 757-623-4820 | |