| Estrada & Estrada, Pc | |
|
1354 Kempsville Rd St. 101 Chesapeake VA 23320 | |
| (757) 548-1611 | |
| (757) 548-1051 |
| Full Name | Estrada & Estrada, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1354 Kempsville Rd, Chesapeake, Virginia |
| Authorized Official Name and Position | Craig W.t. Estrada (DENTIST) |
| Authorized Official Contact | 7575481611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Estrada & Estrada, Pc 1354 Kempsville Rd St. 101 Chesapeake VA 23320 Ph: (757) 548-1611 | Estrada & Estrada, Pc 1354 Kempsville Rd St. 101 Chesapeake VA 23320 Ph: (757) 548-1611 |
| NPI Number | 1093074189 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 05/09/2012 |
| Medicare PECOS PAC ID | 5890951701 |
|---|---|
| Medicare Enrollment ID | O20120723000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093074189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 006969 (Virginia) | Primary |
| 122300000X | Dentist | 007715 (Virginia) | Secondary |
| 122300000X | Dentist | 410774 (Virginia) | Secondary |
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