Individual
SUSAN W CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12725 PATRICK HENRY DR, NEWPORT NEWS, VA 23602-9516
(757) 874-6712
(757) 886-1319
Mailing address
12725 PATRICK HENRY DR, NEWPORT NEWS, VA 23602-9516
(757) 874-6712
(757) 886-1319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07237
VA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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