Organization
SU MCNEILL, DMD, PLLC
Active
Other names
O'Keefe Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BETH TELES (SR. CREDENTIALING SPECIALIST)
(410) 710-6005
Entity
Organization
Contact information
Practice address
1232 W LITTLE CREEK RD, NORFOLK, VA 23505-1952
(757) 440-7955
(757) 489-5834
Mailing address
1232 W LITTLE CREEK RD, NORFOLK, VA 23505-1952
(757) 440-7955
(757) 489-5834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412524
VA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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