Individual
DR. PHILIP JAY LAROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3096 BRICKHOUSE CT, VIRGINIA BEACH, VA 23452-6859
(757) 486-7100
Mailing address
3096 BRICKHOUSE CT, VIRGINIA BEACH, VA 23452-6859
(757) 486-7100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004333
VA
Other
Enumeration date
07/31/2006
Last updated
09/06/2023
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