| Konikoff Dental | |
|
2100 Lynnhaven Pkwy Suite #100 Virginia Beach VA 23456-1492 | |
| (757) 416-1400 | |
| Not Available |
| Full Name | Konikoff Dental |
|---|---|
| Speciality | Dentist |
| Location | 2100 Lynnhaven Pkwy, Virginia Beach, Virginia |
| Authorized Official Name and Position | Tami E. Smith (OFFICE MANAGER) |
| Authorized Official Contact | 7574163342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Konikoff Dental 2100 Lynnhaven Pkwy Suite #100 Virginia Beach VA 23456-1492 Ph: (757) 416-1400 | Konikoff Dental 2100 Lynnhaven Pkwy Suite #100 Virginia Beach VA 23456-1492 Ph: (757) 416-1400 |
| NPI Number | 1285032995 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 12/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285032995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401414697 (Virginia) | Primary |
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