Individual
DR. MICHAEL ANTHONY GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIRCLE, NAVAL MEDICAL CENTER PORTSMOUTH, PORTSMOUTH, VA 23708
(757) 953-2711
Mailing address
620 JOHN PAUL JONES CIRCLE, NAVAL MEDICAL CENTER PORTSMOUTH, PORTSMOUTH, VA 23708
(757) 953-2711
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401414730
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
14005
MD
Other
Enumeration date
06/06/2007
Last updated
05/25/2016
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