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Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Active
Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Other names
LWSS Family Dentistry - Chesapeake
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
1230 PROGRESSIVE DR STE 103, CHESAPEAKE, VA 23320-0203
(757) 416-5977
Mailing address
1230 PROGRESSIVE DR STE 103, CHESAPEAKE, VA 23320-0203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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