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Organization
HAMPTON ROADS DENTAL GROUP
Active
Organization
HAMPTON ROADS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDRA SOLDO (ADMINISTRATOR)
(757) 240-5711
Entity
Organization
Contact information
Practice address
3120 KILN CREEK PKWY STE I, YORKTOWN, VA 23693-5648
(757) 877-9281
Mailing address
220 NAT TURNER BLVD S, NEWPORT NEWS, VA 23606-2998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410912
VA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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