| Lakeshore Dental P.c. | |
|
700 Independence Cir Ste 1a Virginia Beach VA 23455-6405 | |
| (757) 490-3111 | |
| Not Available |
| Full Name | Lakeshore Dental P.c. |
|---|---|
| Speciality | Dentist |
| Location | 700 Independence Cir Ste 1a, Virginia Beach, Virginia |
| Authorized Official Name and Position | Amrish Patel (DENTIST) |
| Authorized Official Contact | 9736106026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Dental P.c. 1209 Independence Blvd Ste 110 Virginia Beach VA 23455-5569 Ph: (757) 490-3111 | Lakeshore Dental P.c. 700 Independence Cir Ste 1a Virginia Beach VA 23455-6405 Ph: (757) 490-3111 |
| NPI Number | 1669987962 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669987962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401414691 (Virginia) | Primary |
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