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Individual

DR. STEPHEN E KONIKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7400 GRANBY ST, NORFOLK, VA 23505-3436
(757) 583-1535
(757) 480-6181
Mailing address
7400 GRANBY ST, NORFOLK, VA 23505-3436
(757) 583-1535
(757) 480-6181

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004880
VA

Other

Enumeration date
01/02/2007
Last updated
07/08/2007
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