# COMPLETE SLEEP DENTISTRY OF VIRGINIA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902621022
- **Authorized official:** ANDRES MORAN (MANAGER)
- **Authorized official phone:** (305) 799-6184

## Contact information

- **Practice address:** 780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
- **Practice address phone:** (888) 835-0988
- **Mailing address:** 1001 6TH AVE RM 701, NEW YORK, NY 10018-5487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2024
- **Last updated:** 11/22/2024