# ULTRA ENDODONTICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ultra Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821520776
- **Authorized official:** ENRIQUE OLTRA ESPLUGUES DDS, MSD (OWNER/ENDODONTIST)
- **Authorized official phone:** (757) 250-5285

## Contact information

- **Practice address:** 7198 CHAPMAN DR, SUITE 7, HAYES, VA 23072-3416
- **Practice address phone:** (757) 250-5285
- **Mailing address:** 1092 BLUE CASTLE LN, VIRGINIA BEACH, VA 23454-1939
- **Mailing address phone:** (206) 335-4494
- **Mailing address fax:** (757) 315-8180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401414309 | VA | Yes |

## Other

- **Enumeration date:** 03/30/2017
- **Last updated:** 03/30/2017