Individual
MRS. COURTNEY NICOLE UGALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1035 NIDER BLVD # 100, VIRGINIA BEACH, VA 23459-8701
(757) 953-8351
Mailing address
1916 VINCE RD, VIRGINIA BEACH, VA 23464-8219
(757) 639-8279
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402207823
VA
Other
Enumeration date
03/16/2021
Last updated
11/30/2022
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