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984 First Colonial Rd Suite 101 Virginia Beach VA 23454-3196 | |
| (757) 412-1400 | |
| (757) 412-0377 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 984 First Colonial Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Carol F. Morgan (PRESIDENT) |
| Authorized Official Contact | 7574121400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
984 First Colonial Rd Suite 101 Virginia Beach VA 23454-3196 Ph: (757) 412-1400 | 984 First Colonial Rd Suite 101 Virginia Beach VA 23454-3196 Ph: (757) 412-1400 |
| NPI Number | 1366620098 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366620098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401008273 (Virginia) | Primary |
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