Organization
VIRGINIA DEPARTMENT OF HEALTH
Active
Other names
Hampton Health Department Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEN REAVES I DDS (DENTIST)
(757) 727-1140
Entity
Organization
Contact information
Practice address
1320 LASALLE AVE, HAMPTON, VA 23669-3801
(757) 727-1140
Mailing address
3130 VICTORIA BLVD, HAMPTON, VA 23661-1544
(757) 727-1172
(757) 727-1185
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0401005262
VA
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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