| Coastal Cosmetic Dentistry | |
|
1369 Laskin Rd Suite #3a Virginia Beach VA 23451-6080 | |
| (757) 222-3731 | |
| Not Available |
| Full Name | Coastal Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1369 Laskin Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | John Sinclair (PRESIDENT) |
| Authorized Official Contact | 7572223731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Cosmetic Dentistry 1369 Laskin Rd Suite #3a Virginia Beach VA 23451-6080 Ph: (757) 222-3731 | Coastal Cosmetic Dentistry 1369 Laskin Rd Suite #3a Virginia Beach VA 23451-6080 Ph: (757) 222-3731 |
| NPI Number | 1881943660 |
|---|---|
| Provider Enumeration Date | 09/07/2012 |
| Last Update Date | 09/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881943660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401412790 (Virginia) | Primary |
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