Organization
VIRGINIA BEACH DENTAL SPA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIRAS ALBADRAN (OWNER)
(617) 505-7082
Entity
Organization
Contact information
Practice address
9305 QUIOCCASIN RD STE A, RICHMOND, VA 23229-5429
(804) 251-1233
(804) 750-1880
Mailing address
9305 QUIOCCASIN RD STE A, RICHMOND, VA 23229-5429
(804) 251-1233
(804) 750-1880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000012970362
—
VA
Enumeration date
01/16/2019
Last updated
01/16/2019
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