| Samuels Mobile Dental Pllc | |
|
1164 Millers Ln Virginia Beach VA 23451-5716 | |
| (948) 203-9545 | |
| Not Available |
| Full Name | Samuels Mobile Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1164 Millers Ln, Virginia Beach, Virginia |
| Authorized Official Name and Position | Eric Scott Samuels (PRESIDENT) |
| Authorized Official Contact | 5049051394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuels Mobile Dental Pllc 155 Ridgeley Cir Norfolk VA 23505-4609 Ph: (504) 905-1394 | Samuels Mobile Dental Pllc 1164 Millers Ln Virginia Beach VA 23451-5716 Ph: (948) 203-9545 |
| NPI Number | 1598536716 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598536716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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