Organization
ANN L LAGONEGRO DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN LUCILLE LAGONEGRO DMD (PRESIDENT)
(804) 693-9600
Entity
Organization
Contact information
Practice address
6093 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-3750
(804) 693-9600
(804) 693-7447
Mailing address
6093 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-3750
(804) 693-9600
(804) 693-7447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006522
VA
Other
Enumeration date
01/25/2007
Last updated
06/18/2008
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