Organization
LOVELL FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BRANDON LOVELL DDS (DENTIST)
(757) 484-1675
Entity
Organization
Contact information
Practice address
5717 CHURCHLAND BLVD, PORTSMOUTH, VA 23703-3308
(757) 484-1675
(757) 686-8902
Mailing address
5717 CHURCHLAND BLVD, PORTSMOUTH, VA 23703-3308
(757) 484-1675
(757) 686-8902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411496
VA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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