# THE FOLECK CENTER, LTD.

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

## Provider details

- **NPI number:** 1912350547
- **Authorized official:** TANJA MANOJLOVIC (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (757) 838-8411

## Contact information

- **Practice address:** 2400 CUNNINGHAM DR, SUITE 100, HAMPTON, VA 23666-6500
- **Practice address phone:** (757) 838-8411
- **Practice address fax:** (757) 826-0480
- **Mailing address:** 2400 CUNNINGHAM DR, SUITE 100, HAMPTON, VA 23666-6500
- **Mailing address phone:** (757) 838-8411
- **Mailing address fax:** (757) 826-0480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401008873 | VA | Yes |

## Other

- **Enumeration date:** 07/19/2016
- **Last updated:** 07/19/2016