Organization
ESTRADA & ESTRADA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG W.T. ESTRADA DDS (DENTIST)
(757) 548-1611
Entity
Organization
Contact information
Practice address
1354 KEMPSVILLE RD, ST. 101, CHESAPEAKE, VA 23320
(757) 548-1611
(757) 548-1051
Mailing address
1354 KEMPSVILLE RD, ST. 101, CHESAPEAKE, VA 23320
(757) 548-1611
(757) 548-1051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
006969
VA
122300000X
Dentist
007715
VA
122300000X
Dentist
410774
VA
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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