Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Other names
Sandbridge Family Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Authorized official
CARMEN WOODS (CREDENTIALING COORDINATOR)
(217) 540-5141
Entity
Organization
Contact information
Practice address
2105 PRINCESS ANNE RD, 108, VIRGINIA BEACH, VA 23456-4001
(757) 644-4857
Mailing address
2105 PRINCESS ANNE RD, 108, VIRGINIA BEACH, VA 23456-4001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
06/19/2015
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