| John L. Kordulak | |
|
855 Kempsville Rd Virginia Beach VA 23464-2708 | |
| (757) 495-4700 | |
| (757) 495-3432 |
| Full Name | John L. Kordulak |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 855 Kempsville Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | John L Kordulak (DENTIST) |
| Authorized Official Contact | 7574954700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John L. Kordulak 855 Kempsville Rd Virginia Beach VA 23464-2708 Ph: (757) 495-4700 | John L. Kordulak 855 Kempsville Rd Virginia Beach VA 23464-2708 Ph: (757) 495-4700 |
| NPI Number | 1093963761 |
|---|---|
| Provider Enumeration Date | 09/05/2008 |
| Last Update Date | 09/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093963761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | VA4781 (Virginia) | Primary |
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