| Konikoff Periodontics Ltd | |
|
477 Viking Dr Ste 190 Virginia Beach VA 23452-7354 | |
| (757) 486-8181 | |
| (757) 463-0148 |
| Full Name | Konikoff Periodontics Ltd |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 477 Viking Dr Ste 190, Virginia Beach, Virginia |
| Authorized Official Name and Position | Melody Price (OFFICE MANAGER) |
| Authorized Official Contact | 7574868181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Konikoff Periodontics Ltd 477 Viking Dr Ste 190 Virginia Beach VA 23452-7354 Ph: (757) 486-8181 | Konikoff Periodontics Ltd 477 Viking Dr Ste 190 Virginia Beach VA 23452-7354 Ph: (757) 486-8181 |
| NPI Number | 1477706737 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 10/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477706737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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