# LWSS FAMILY DENTISTRY LTD

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

## Provider details

- **NPI number:** 1508301789
- **Authorized official:** ROBIN GREENE (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (757) 962-6769

## Contact information

- **Practice address:** 2185 UPTON DR, VIRGINIA BEACH, VA 23454-1188
- **Practice address phone:** (757) 416-5977
- **Mailing address:** 1230 PROGRESSIVE DR, SUITE 103, CHESAPEAKE, VA 23320-0203
- **Mailing address phone:** (757) 962-6769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2017-260772-R | VA | Yes |

## Other

- **Enumeration date:** 12/27/2016
- **Last updated:** 12/27/2016
