# ESTRADA & ESTRADA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093074189
- **Authorized official:** DR. CRAIG W.T. ESTRADA DDS (DENTIST)
- **Authorized official phone:** (757) 548-1611

## Contact information

- **Practice address:** 1354 KEMPSVILLE RD, ST. 101, CHESAPEAKE, VA 23320
- **Practice address phone:** (757) 548-1611
- **Practice address fax:** (757) 548-1051
- **Mailing address:** 1354 KEMPSVILLE RD, ST. 101, CHESAPEAKE, VA 23320
- **Mailing address phone:** (757) 548-1611
- **Mailing address fax:** (757) 548-1051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 006969 | VA | Yes |
| 122300000X | Dentist | 007715 | VA | — |
| 122300000X | Dentist | 410774 | VA | — |

## Other

- **Enumeration date:** 05/09/2012
- **Last updated:** 05/09/2012