Individual
DR. MICHAEL F HASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1055 KEMPSVILLE RD, VIRGINIA BEACH, VA 23464-5501
(757) 474-1200
(757) 474-9392
Mailing address
1055 KEMPSVILLE RD, VIRGINIA BEACH, VA 23464-5501
(757) 474-1200
(757) 474-9392
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401007364
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
669894
UNITED CONCORDIA
VA
Enumeration date
08/25/2006
Last updated
07/08/2007
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