Organization
CHESAPEAKE FAMILY AND IMPLANT DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATTY LYNN HEBERLING (OFFICE MANAGER)
(757) 436-0026
Entity
Organization
Contact information
Practice address
CHESAPEAKE FAMILY AND IMPLANT DENTISTRY, 516 INNOVATION DR. SUITE 302, CHESAPEAKE, VA 23320
(757) 436-0026
(757) 547-5658
Mailing address
CHESAPEAKE FAMILY AND IMPLANT DENTISTRY LLC, 516 INNOVATION DR. SUITE 302, CHESAPEAKE, VA 23320
(757) 436-0026
(757) 547-5658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006063
VA
305R00000X
Preferred Provider Organization
0401006063
VA
Other
Enumeration date
04/11/2018
Last updated
08/28/2018
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