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3300 Princess Anne Rd Ste 715 Virginia Beach VA 23456-2603 | |
| (757) 301-8465 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3300 Princess Anne Rd Ste 715, Virginia Beach, Virginia |
| Authorized Official Name and Position | Jason Campbell (MANAGING MEMBER/OWNER) |
| Authorized Official Contact | 7573018465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3300 Princess Anne Rd Ste 715 Virginia Beach VA 23456-2603 Ph: () - | 3300 Princess Anne Rd Ste 715 Virginia Beach VA 23456-2603 Ph: (757) 301-8465 |
| NPI Number | 1447502380 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 10/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447502380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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