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2236 General Booth Blvd Ste 100 Virginia Beach VA 23456-4092 | |
| (757) 427-9300 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2236 General Booth Blvd Ste 100, Virginia Beach, Virginia |
| Authorized Official Name and Position | Amy Tam (DENTIST) |
| Authorized Official Contact | 7574279300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2236 General Booth Blvd Ste 100 Virginia Beach VA 23456-4092 Ph: (757) 427-9300 | 2236 General Booth Blvd Ste 100 Virginia Beach VA 23456-4092 Ph: (757) 427-9300 |
| NPI Number | 1689223265 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689223265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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