Organization
IDEAL DENTAL STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIGHT SEFAH DENTIST (PRESIDENT)
(757) 348-3011
Entity
Organization
Contact information
Practice address
3782 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-3414
(757) 348-3011
Mailing address
3782 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-3414
(757) 348-3011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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