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7109 George Washington Mem Hwy Yorktown VA 23692-4842 | |
| (757) 598-2097 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7109 George Washington Mem Hwy, Yorktown, 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 |
|---|---|
3120 Kiln Creek Pkwy Ste P Yorktown VA 23693-5648 Ph: (757) 369-1754 | 7109 George Washington Mem Hwy Yorktown VA 23692-4842 Ph: (757) 598-2097 |
| NPI Number | 1689047839 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 04/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689047839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401410912 (Virginia) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401412905 (Virginia) | Secondary |
Boxx, Blaney And Lachine P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Hampton Hwy, Yorktown, VA 23693 Phone: 757-867-8765 Fax: 757-867-8500 | |
Red Star Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 St.clair Cirle, Apt K, Yorktown, VA 23693 Phone: 757-223-5989 | |
Michael W. Bowler, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4310 George Washington Hwy, Yorktown, VA 23692 Phone: 757-898-1919 Fax: 757-898-2864 | |
Hamouri Cosmetic And Family Denistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4310 George Washington Mem Hwy Ste A, Yorktown, VA 23692 Phone: 757-898-1919 Fax: 757-898-2935 |