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Organization
KATDEL LLC
Active
Organization
KATDEL LLC
Active
Other names
Advanced Sedation Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY DELVA DDS (OWNER)
(757) 769-7155
Entity
Organization
Contact information
Practice address
200 BATTLEFIELD BLVD N STE 4, CHESAPEAKE, VA 23320-3975
(757) 769-7155
Mailing address
200 BATTLEFIELD BLVD N STE 4, CHESAPEAKE, VA 23320-3975
(757) 769-7155
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
NULL
1223D0004X
Dental Anesthesiology
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/22/2021
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