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Organization
MID ATLANTIC IMPLANT AND ORAL SURGERY CENTER P.C.
Active
Organization
MID ATLANTIC IMPLANT AND ORAL SURGERY CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PAIGE FOLCK II D.D.S. (PRESIDENT)
(757) 340-9146
Entity
Organization
Contact information
Practice address
3145 VIRGINIA BEACH BLVD, SUITE 206, VIRGINIA BEACH, VA 23452-6950
(757) 340-9146
(757) 340-2547
Mailing address
3145 VIRGINIA BEACH BLVD, SUITE 206, VIRGINIA BEACH, VA 23452-6950
(757) 340-9146
(757) 340-2547
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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