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Organization
DRS BUSSEY MAYO ARCHER LTD
Active
Organization
DRS BUSSEY MAYO ARCHER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANDALE MARIE GREGORY (BILLING FINANCIAL COORDINATOR)
(757) 486-5155
Entity
Organization
Contact information
Practice address
2995 CHURCHLAND BLVD, CHESAPEAKE, VA 23321
(757) 483-2167
(757) 483-9320
Mailing address
2995 CHURCHLAND BLVD, CHESAPEAKE, VA 23321
(757) 483-2167
(757) 483-9320
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401004066
VA
1223E0200X
Endodontics
0401007693
VA
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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