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Organization

PAUL R. LETELLIER, DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA LYNN HEBERLING (OFFICE MANAGER)
(757) 436-0026
Entity
Organization

Contact information

Practice address
133 KEMPSVILLE RD, SUITE 103, CHESAPEAKE, VA 23320-3701
(757) 436-0026
(757) 547-5658
Mailing address
133 KEMPSVILLE RD, SUITE 103, CHESAPEAKE, VA 23320-3701
(757) 436-0026
(757) 547-5658

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0401006063
VA

Other

Enumeration date
09/22/2011
Last updated
10/06/2011
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