Organization
JENKINS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CARLA Y JOHNSON (RECEPTIONIST)
(757) 393-4361
Entity
Organization
Contact information
Practice address
3349 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-3023
(757) 393-4361
(757) 393-3738
Mailing address
3349 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-3023
(757) 393-4361
(757) 393-3738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3244
VA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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