# BREDOLOGOS FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1649305467
- **Authorized official:** DR. MARIA BREDOLOGOS MENDRINOS D.D.S. (PRESIDENT)
- **Authorized official phone:** (757) 425-1828

## Contact information

- **Practice address:** 1917 LASKIN RD STE 106, VIRGINIA BEACH, VA 23454-4283
- **Practice address phone:** (757) 425-1828
- **Practice address fax:** (757) 425-1834
- **Mailing address:** 1917 LASKIN RD STE 106, VIRGINIA BEACH, VA 23454-4283
- **Mailing address phone:** (757) 425-1828
- **Mailing address fax:** (757) 425-1834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401007153 | VA | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020
