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129 Hanbury Rd W Ste 101 Chesapeake VA 23322-4283 | |
| (757) 546-5262 | |
| (757) 546-5265 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 129 Hanbury Rd W Ste 101, Chesapeake, Virginia |
| Authorized Official Name and Position | Tanya Brown (OWNER/DENTIST) |
| Authorized Official Contact | 7575465262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
129 Hanbury Rd W Ste 101 Chesapeake VA 23322-4283 Ph: (757) 546-5262 | 129 Hanbury Rd W Ste 101 Chesapeake VA 23322-4283 Ph: (757) 546-5262 |
| NPI Number | 1558695106 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 09/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558695106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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