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3145 Virginia Beach Blvd Ste 104 Virginia Beach VA 23452-6950 | |
| (757) 340-7602 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3145 Virginia Beach Blvd Ste 104, Virginia Beach, Virginia |
| Authorized Official Name and Position | Michael S Morgan (MANAGER/DENTIST PARTNER) |
| Authorized Official Contact | 7573407602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3145 Virginia Beach Blvd Ste 104 Virginia Beach VA 23452-6950 Ph: (757) 340-7602 | 3145 Virginia Beach Blvd Ste 104 Virginia Beach VA 23452-6950 Ph: (757) 340-7602 |
| NPI Number | 1043555477 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043555477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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