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4239 Holland Road Suite 762-a Virginia Beach VA 23452 | |
| (757) 467-5665 | |
| (757) 467-1455 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4239 Holland Road, Virginia Beach, Virginia |
| Authorized Official Name and Position | Michelle Jacomino (DIRECTOR OF PAYOR RELATIONS) |
| Authorized Official Contact | 7709165036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
210 Interstate North Pkwy Se Ste 300 Atlanta GA 30339-2233 Ph: (770) 916-9000 | 4239 Holland Road Suite 762-a Virginia Beach VA 23452 Ph: (757) 467-5665 |
| NPI Number | 1780771378 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 05/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780771378 | NPI | - | NPPES |
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