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Organization

VIRGINIA BEACH DEPT. OF PUBLIC HEALTH - DENTAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER WHITLEY (BUSINESS MANAGER)
(757) 518-2782
Entity
Organization

Contact information

Practice address
4452 CORPORATION LN, VIRGINIA BEACH, VA 23462-3173
(757) 518-2782
(757) 518-2645
Mailing address
4452 CORPORATION LN, VIRGINIA BEACH, VA 23462-3173
(757) 518-2782
(757) 518-2645

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary

Other

Enumeration date
09/05/2006
Last updated
08/22/2020
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