Organization
ADVANCED SEDATION DENTISTRY - HAMPTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARALAMBOS GAROFALIS DDS (MANAGING PARTNER)
(757) 240-5711
Entity
Organization
Contact information
Practice address
2111 HARTFORD RD, SUITE D, HAMPTON, VA 23666-2576
(757) 838-0800
Mailing address
220 NAT TURNER BLVD S, NEWPORT NEWS, VA 23606-2899
(757) 240-5711
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0401410912
VA
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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