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Organization
ISLE OF WIGHT FAMILY AND COSMETIC DENTISTRY, P.C.
Active
Organization
ISLE OF WIGHT FAMILY AND COSMETIC DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER F HOWARD D.D.S. (PRESIDENT)
(757) 356-1212
Entity
Organization
Contact information
Practice address
200 GUMWOOD DR., BUILDING 1, SMITHFIELD, VA 23430-1103
(757) 356-1212
Mailing address
200 GUMWOOD DR., BUILDING 1, SMITHFIELD, VA 23430-1103
(757) 356-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411511
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113284
—
VA
Enumeration date
03/24/2008
Last updated
03/24/2008
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