Radiant Flux Pllc | |
700 Independence Cir Ste 3b Virginia Beach VA 23455-6405 | |
(757) 929-7100 | |
(757) 929-7097 |
Full Name | Radiant Flux Pllc |
---|---|
Speciality | Dentist |
Location | 700 Independence Cir Ste 3b, Virginia Beach, Virginia |
Authorized Official Name and Position | Brian Gene Briesemeister (OWNER) |
Authorized Official Contact | 7579297100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Radiant Flux Pllc 1301 Bridgeport Way Suite 109 Suffolk VA 23435 Ph: (757) 484-1444 | Radiant Flux Pllc 700 Independence Cir Ste 3b Virginia Beach VA 23455-6405 Ph: (757) 929-7100 |
NPI Number | 1053171462 |
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Provider Enumeration Date | 03/21/2024 |
Last Update Date | 03/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053171462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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