Individual
DR. DANIEL WALTER INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1212 LAKE JAMES DR, SUITE A, VIRGINIA BEACH, VA 23464-6779
(757) 420-4214
Mailing address
1212 LAKE JAMES DR, SUITE A, VIRGINIA BEACH, VA 23464-6779
(757) 420-4214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
05288
VA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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