Individual
SAMANTHA LEE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD, NBBDC - NAVAL MEDICAL CENTER PORTSMOUTH, NORFOLK, VA 23511
(757) 953-8513
Mailing address
1647 ADMIRAL TAUSSIG BLVD, NBBDC - NAVAL MEDICAL CENTER PORTSMOUTH, NORFOLK, VA 23511
(757) 953-8513
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
906372
CO
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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