Individual
PROF. ANDREA MARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1897
Mailing address
201 W 21ST ST, NORFOLK, VA 23517-2307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415035
VA
1223G0001X
General Practice Dentistry
Primary
105561
CA
Other
Enumeration date
09/27/2015
Last updated
12/28/2020
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