Individual
DR. CARTER JACK MAVROMATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2248 SUNSTATES CT STE 103, VIRGINIA BEACH, VA 23451-1553
(757) 496-9123
Mailing address
2248 SUNSTATES CT STE 103, VIRGINIA BEACH, VA 23451-1553
(757) 496-9123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416586
VA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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