Organization
HAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
Active
Parent organization
HAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
Other names
Hanbury Pediatric Dentistry, Hanbury Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
Authorized official
GRACE O DAVIS (BUSINESS ADMINISTRATOR)
(757) 369-1754
Entity
Organization
Contact information
Practice address
237 HANBURY RD E STE 30, CHESAPEAKE, VA 23322-6622
(757) 547-2134
(757) 410-4765
Mailing address
3120 KILN CREEK PKWY STE P, YORKTOWN, VA 23693-5648
(757) 369-1754
(757) 234-8891
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410912
VA
Other
Enumeration date
11/10/2015
Last updated
04/12/2019
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