Individual
ANTINIA DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 C AVE, BUILDING 8204, FORT LEE, VA 23801-1717
(804) 734-9608
Mailing address
577 STERNBERG AVE, USA DENTAL ACTIVITY HEADQUARTERS, FORT EUSTIS, VA 23604-1526
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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