Organization
KONIKOFF DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA J JOHNSON (CRO)
(941) 444-0558
Entity
Organization
Contact information
Practice address
2100 LYNNHAVEN PKWY, SUITE #100, VIRGINIA BEACH, VA 23456-1492
(757) 416-1400
Mailing address
2100 LYNNHAVEN PKWY, SUITE #100, VIRGINIA BEACH, VA 23456-1492
(757) 416-1400
(757) 257-0085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414697
VA
Other
Enumeration date
12/11/2014
Last updated
07/21/2026
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