Organization
ASPEN DENTAL OF VIRGINIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GURSIMRAT JUDGE (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
4625 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-6795
(757) 807-2137
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
06/20/2023
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