Organization
PAUL E. PRILLAMAN, III, DDS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAUL ELLIS PRILLAMAN III DDS (OWNER)
(757) 547-2820
Entity
Organization
Contact information
Practice address
905 BATTLEFIELD BLVD N, 101, CHESAPEAKE, VA 23320-4875
(757) 547-2820
(757) 547-4301
Mailing address
905 BATTLEFIELD BLVD N STE 101, CHESAPEAKE, VA 23320-4875
(757) 547-2820
(757) 547-4301
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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