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762 Independence Blvd Virginia Beach VA 23455-6200 | |
| (757) 499-4707 | |
| (757) 499-4707 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 762 Independence Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Sarah T. Esparza (OWNER) |
| Authorized Official Contact | 7574994707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
762 Independence Blvd Virginia Beach VA 23455-6200 Ph: (757) 499-4707 | 762 Independence Blvd Virginia Beach VA 23455-6200 Ph: (757) 499-4707 |
| NPI Number | 1801251343 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 12/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801251343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401411188 (Virginia) | Primary |
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