Organization
COLONIAL HEIGHTS DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASIONY HAGAR D.D.S. (DOCTOR)
(804) 520-1741
Entity
Organization
Contact information
Practice address
2018 BOULEVARD, COLONIAL HEIGHTS, VA 23834-2310
(804) 520-1741
(804) 520-4750
Mailing address
2018 BOULEVARD, COLONIAL HEIGHTS, VA 23834-2310
(804) 520-1741
(804) 520-4750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412257
VA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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