Organization
GREEN MEADOWS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA RENEE JOHNSON (DIRECTOR OF OPERATIONS)
(757) 357-4121
Entity
Organization
Contact information
Practice address
4676 PRINCESS ANNE RD STE 100, VIRGINIA BEACH, VA 23462-6465
(757) 495-5010
Mailing address
4676 PRINCESS ANNE RD STE 100, VIRGINIA BEACH, VA 23462-6465
(757) 495-5010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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