| Red Mill Pediatric Dentistry, Pllc | |
|
2336 Elson Green Ave Ste 101 Virginia Beach VA 23456-6939 | |
| (757) 301-2064 | |
| Not Available |
| Full Name | Red Mill Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2336 Elson Green Ave Ste 101, Virginia Beach, Virginia |
| Authorized Official Name and Position | Grace O Davis (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 7573691754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Mill Pediatric Dentistry, Pllc 3120 Kiln Creek Pkwy Ste P Yorktown VA 23693-5648 Ph: (757) 369-1754 | Red Mill Pediatric Dentistry, Pllc 2336 Elson Green Ave Ste 101 Virginia Beach VA 23456-6939 Ph: (757) 301-2064 |
| NPI Number | 1023568995 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023568995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Virginia) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Virginia) | Secondary |
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