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Individual

DR. GAIL VERNA PLAUKA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
350 JOHNSTOWN RD, STE C, CHESAPEAKE, VA 23322-5365
(757) 482-4777
(757) 546-9820
Mailing address
350 JOHNSTOWN RD, STE C, CHESAPEAKE, VA 23322-5365
(757) 482-4777
(757) 546-9820

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401-00006218
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0401-00006218
STATE LICENSE
VA
01
094767
BLUE CROSS BLUE SHIELD
VA
01
46767
UNITED CONCORDIA PROVIDER
VA
05
8221979
VA
Enumeration date
06/02/2005
Last updated
07/08/2007
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