| Walker W. Shivar, D.d.s. Anthony R. Peluso, D.d.s. Holly H. Andersen, | |
|
302 E Little Creek Rd Suite 300 Norfolk VA 23505-2603 | |
| (757) 424-5308 | |
| (757) 424-1708 |
| Full Name | Walker W. Shivar, D.d.s. Anthony R. Peluso, D.d.s. Holly H. Andersen, |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 302 E Little Creek Rd, Norfolk, Virginia |
| Authorized Official Name and Position | Robin E Kircheval (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7574204035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walker W. Shivar, D.d.s. Anthony R. Peluso, D.d.s. Holly H. Andersen, 302 E Little Creek Rd Suite 300 Norfolk VA 23505-2603 Ph: (757) 424-5308 | Walker W. Shivar, D.d.s. Anthony R. Peluso, D.d.s. Holly H. Andersen, 302 E Little Creek Rd Suite 300 Norfolk VA 23505-2603 Ph: (757) 424-5308 |
| NPI Number | 1760694921 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 06/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760694921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5426 (Virginia) | Primary |
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