Individual
MARK JAY HERMELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
337 EDWIN DRIVE, SUITE 101, VIRGINIA BEACH, VA 23462
(757) 497-4746
(757) 497-3698
Mailing address
337 EDWIN DRIVE, SUITE 101, VIRGINIA BEACH, VA 23462
(757) 497-4746
(757) 497-3698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005631
VA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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