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1432 N Great Neck Rd Suite 102 Virginia Beach VA 23454-1342 | |
| (787) 486-7857 | |
| (757) 486-4441 |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1432 N Great Neck Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Gregory Thomas Engel (OWNER / PRESIDENT) |
| Authorized Official Contact | 7576132630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
343 Naples Ct Chesapeake VA 23322-8378 Ph: (757) 613-2630 | 1432 N Great Neck Rd Suite 102 Virginia Beach VA 23454-1342 Ph: (787) 486-7857 |
| NPI Number | 1740548403 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740548403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 0401411234 (Virginia) | Primary |
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