Individual
NICOLE SLAVOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
92 NEALY BLVD, HAMPTON, VA 23665-2022
(757) 215-6176
Mailing address
4636 CURTISS DR, VIRGINIA BEACH, VA 23455-4320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00205135
CO
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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