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Organization
HAMPTON ROADS FAMILY DENTAL PORTMOUTH LLC
Active
Organization
HAMPTON ROADS FAMILY DENTAL PORTMOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL AMOAH DDS (OWNER)
(207) 951-2287
Entity
Organization
Contact information
Practice address
3219 STAMFORD RD, PORTSMOUTH, VA 23703-3707
(757) 484-1202
Mailing address
3219 STAMFORD RD, PORTSMOUTH, VA 23703-3707
(757) 484-1202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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