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Organization

DENTAL PROFESSIONALS OF VIRGINIA, P.C.

Active
Parent organization
SUFFOLK COMPLETE DENTAL CARE
Other names
Suffolk Complete Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUFFOLK COMPLETE DENTAL CARE
Authorized official
CARMEN WOODS (INSURANCE)
(217) 540-5141
Entity
Organization

Contact information

Practice address
6255 COLLEGE DR, SUITE E, SUFFOLK, VA 23435-2768
(757) 663-5716
Mailing address
6225 COLLEGE DR, SUITE E, SUFFOLK, VA 23435-2768
(757) 663-5716

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/26/2014
Last updated
02/10/2015
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