| Jack Mavromatis Dds, Ltd. | |
|
2248 Sunstates Ct Ste 103 Virginia Beach VA 23451-1553 | |
| (757) 496-9123 | |
| (757) 496-2083 |
| Full Name | Jack Mavromatis Dds, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2248 Sunstates Ct Ste 103, Virginia Beach, Virginia |
| Authorized Official Name and Position | Jack Mavromatis (OWNER DENTIST) |
| Authorized Official Contact | 7574969123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Mavromatis Dds, Ltd. 2248 Sunstates Ct Ste 103 Virginia Beach VA 23451-1553 Ph: (757) 496-9123 | Jack Mavromatis Dds, Ltd. 2248 Sunstates Ct Ste 103 Virginia Beach VA 23451-1553 Ph: (757) 496-9123 |
| NPI Number | 1134273683 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134273683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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