# KATDEL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Sedation Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073186656
- **Authorized official:** DR. KATHY DELVA DDS (OWNER)
- **Authorized official phone:** (757) 769-7155

## Contact information

- **Practice address:** 200 BATTLEFIELD BLVD N STE 4, CHESAPEAKE, VA 23320-3975
- **Practice address phone:** (757) 769-7155
- **Mailing address:** 200 BATTLEFIELD BLVD N STE 4, CHESAPEAKE, VA 23320-3975
- **Mailing address phone:** (757) 769-7155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0004X | Dental Anesthesiology | — | NULL | — |
| 1223D0004X | Dental Anesthesiology | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2021
- **Last updated:** 07/22/2021