# MONLEUDY KEO BRACKEN, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vibrant Smile Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528557824
- **Authorized official:** REBECCA DOUGLASS (OFFICE MANAGER)
- **Authorized official phone:** (757) 466-1700

## Contact information

- **Practice address:** 5715 SELLGER DR, NORFOLK, VA 23502-5239
- **Practice address phone:** (757) 466-1700
- **Practice address fax:** (757) 416-6850
- **Mailing address:** 5715 SELLGER DR, NORFOLK, VA 23502-5239
- **Mailing address phone:** (757) 466-1700
- **Mailing address fax:** (757) 416-6850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401412950 | VA | Yes |

## Other

- **Enumeration date:** 05/02/2018
- **Last updated:** 05/02/2018