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3720 Holland Rd Ste. 102 Virginia Beach VA 23452-2859 | |
| (757) 498-1663 | |
| (757) 961-8760 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3720 Holland Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | David Throckmorton (DENTIST) |
| Authorized Official Contact | 7574981663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3720 Holland Rd Ste 102 Virginia Beach VA 23452-2859 Ph: (757) 498-1663 | 3720 Holland Rd Ste. 102 Virginia Beach VA 23452-2859 Ph: (757) 498-1663 |
| NPI Number | 1649601444 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649601444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411064 (Virginia) | Primary |
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