# THE FOLECK CENTER

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

## Provider details

- **NPI number:** 1427319300
- **Authorized official:** TATJANA MANOJLOVIC (CEO)
- **Authorized official phone:** (757) 623-0283

## Contact information

- **Practice address:** 201 COLLEGE PLACE, \#111, NORFOLK, VA 23510
- **Practice address phone:** (757) 623-0283
- **Practice address fax:** (757) 623-0339
- **Mailing address:** 201 COLLEGE PLACE, \#111, NORFOLK, VA 23510
- **Mailing address phone:** (757) 623-0283
- **Mailing address fax:** (757) 623-0339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401008873 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 0401412033 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401412834 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401413140 | VA | — |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 05/13/2016