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Individual

DR. ERIC SCOTT SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(757) 843-9581
Mailing address
155 RIDGELEY CIR, NORFOLK, VA 23505-4609
(504) 905-1394

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416550
VA
171000000X
Military Health Care Provider
0401416550
VA

Other

Enumeration date
07/25/2019
Last updated
04/03/2023
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