Organization
GHENT FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH F CAUTHEN (OWNER)
(757) 626-0633
Entity
Organization
Contact information
Practice address
2200 COLONIAL AVE, SUITE 12, NORFOLK, VA 23517-1915
(757) 626-0633
(757) 626-0003
Mailing address
2200 COLONIAL AVE, SUITE 12, NORFOLK, VA 23517-1915
(757) 626-0633
(757) 626-0003
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401007333
VA
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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