Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Other names
Williamsburg Cosmetic Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
1130 OLD COLONY LN STE 100, WILLIAMSBURG, VA 23185-3864
(757) 229-3052
Mailing address
1130 OLD COLONY LN STE 100, WILLIAMSBURG, VA 23185-3864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
12/09/2022
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