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Organization
MADAN PERIODONTICS AND IMPLANT DENTISTRY PLLC
Active
Organization
MADAN PERIODONTICS AND IMPLANT DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIKA MADAN DDS DSC (PERIODONTIST/CEO)
(757) 663-1633
Entity
Organization
Contact information
Practice address
5900 E VIRGINIA BEACH BLVD STE 213, NORFOLK, VA 23502-2487
(757) 461-3660
Mailing address
5900 E VIRGINIA BEACH BLVD STE 213, NORFOLK, VA 23502-2487
(757) 461-3660
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401412643
VA
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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