Organization
MARKO VENNE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAE SPENCER (OFFICE MANAGER)
(757) 874-8919
Entity
Organization
Contact information
Practice address
186 ARTHUR WAY, NEWPORT NEWS, VA 23602-9443
(757) 874-8919
(757) 874-3286
Mailing address
186 ARTHUR WAY, NEWPORT NEWS, VA 23602-9443
(757) 874-8919
(757) 874-3286
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
04001007788
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033203641
DENTIST INDIVIDUAL
VA
Enumeration date
12/07/2007
Last updated
12/07/2007
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