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Organization
HAMPTON ROADS FAMILY DENTAL
Active
Organization
HAMPTON ROADS FAMILY DENTAL
Active
Other names
Hampton Roads Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN G NEWTON BS (ADMINISTRATOR)
(757) 722-8507
Entity
Organization
Contact information
Practice address
3709 KECOUGHTAN RD, HAMPTON, VA 23669-4405
(757) 722-8507
Mailing address
3709 KECOUGHTAN RD, HAMPTON, VA 23669-4405
(757) 722-8507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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