Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Other names
LWSS FAMILY DENTISTRY - SUFFOLK
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDIANTOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
210 MEADOW VIEW BLVD, SUFFOLK, VA 23435-3495
(757) 416-5977
Mailing address
210 MEADOW VIEW BLVD, SUFFOLK, VA 23435-3495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/17/2021
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