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Individual

SHARON LINDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
5900 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-2473
(757) 644-4356
Mailing address
1090 NORTHCHASE PKWY SE, SUITE 290, KOOL SMILES SUPPORT SERVICES OFFICE/NDRC,LLC, MARIETTA, GA 30067
(678) 904-5665
(678) 247-7862

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413330
VA
122300000X
Dentist
DS035800
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008411900002
PA
Enumeration date
08/15/2006
Last updated
08/18/2011
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