| Dental Services Se Virginia | |
|
780 Lynnhaven Parkway Suite 220 Virginia Beach VA 23452 | |
| (757) 486-4529 | |
| Not Available |
| Full Name | Dental Services Se Virginia |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 780 Lynnhaven Parkway, Virginia Beach, Virginia |
| Authorized Official Name and Position | Carter Lee Richards (PRESIDENT) |
| Authorized Official Contact | 7577499043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Services Se Virginia 780 Lynnhaven Pkwy Ste 220 Virginia Beach VA 23452-7332 Ph: (757) 486-4529 | Dental Services Se Virginia 780 Lynnhaven Parkway Suite 220 Virginia Beach VA 23452 Ph: (757) 486-4529 |
| NPI Number | 1770012163 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770012163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401008839 (Virginia) | Primary |
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