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1112 Laskin Road Suite B Virginia Beach VA 23451 | |
| (757) 425-1335 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1112 Laskin Road Suite B, Virginia Beach, Virginia |
| Authorized Official Name and Position | Randall L Bittner (DOCTOR MANAGER) |
| Authorized Official Contact | 7574251335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1112 Laskin Road Suite B Virginia Beach VA 23451 Ph: (757) 425-1335 | 1112 Laskin Road Suite B Virginia Beach VA 23451 Ph: (757) 425-1335 |
| NPI Number | 1114216843 |
|---|---|
| Provider Enumeration Date | 04/04/2011 |
| Last Update Date | 04/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114216843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401008030 (Virginia) | Primary |
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