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Individual

DR. MADISON ANN SQUIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
272 BENDIX RD., SUITE 650, VIRGINIA BEACH, VA 23452
(757) 499-9639
(757) 480-2288
Mailing address
272 BENDIX ROAD, SUITE 650, VIRGINIA BEACH, VA 23452
(757) 499-9639
(757) 480-2288

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040147038
VA
1223G0001X
General Practice Dentistry
0401417038
VA

Other

Enumeration date
07/20/2020
Last updated
08/21/2023
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