| Cusp Untethered, Pllc | |
|
4440 Shore Dr Ste 100b Virginia Beach VA 23455-3046 | |
| (757) 904-4347 | |
| Not Available |
| Full Name | Cusp Untethered, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4440 Shore Dr Ste 100b, Virginia Beach, Virginia |
| Authorized Official Name and Position | Zaneta Hamlin (MEMBER) |
| Authorized Official Contact | 7579044347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cusp Untethered, Pllc 4440 Shore Dr Ste 100b Virginia Beach VA 23455-3046 Ph: (757) 904-4347 | Cusp Untethered, Pllc 4440 Shore Dr Ste 100b Virginia Beach VA 23455-3046 Ph: (757) 904-4347 |
| NPI Number | 1093591604 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093591604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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