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Organization
SU MCNEILL, DMD, PLLC
Active
Organization
SU MCNEILL, DMD, PLLC
Active
Other names
O'Keefe Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BETH TELES (SR. CREDENTIALING SPECIALIST)
(410) 710-6005
Entity
Organization
Contact information
Practice address
1232 W LITTLE CREEK RD, NORFOLK, VA 23505-1952
(757) 440-7955
(757) 489-5834
Mailing address
1232 W LITTLE CREEK RD, NORFOLK, VA 23505-1952
(757) 440-7955
(757) 489-5834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412524
VA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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