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2004 Sandbridge Rd Ste 100 Virginia Beach VA 23456-4084 | |
| (757) 427-2212 | |
| (757) 427-0665 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2004 Sandbridge Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Robert Dale Wernick (DENTIST) |
| Authorized Official Contact | 7574272212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2004 Sandbridge Rd Ste 100 Virginia Beach VA 23456-4084 Ph: (757) 427-2212 | 2004 Sandbridge Rd Ste 100 Virginia Beach VA 23456-4084 Ph: (757) 427-2212 |
| NPI Number | 1083950810 |
|---|---|
| Provider Enumeration Date | 12/26/2012 |
| Last Update Date | 12/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083950810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401006416 (Virginia) | Primary |
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