Individual
JERRY G CARAVAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 LYNNHAVEN PKWY STE 101, VIRGINIA BEACH, VA 23452-7430
(757) 471-6020
(757) 471-5205
Mailing address
307 LYNNHAVEN PKWY STE 101, VIRGINIA BEACH, VA 23452-7430
(757) 471-6020
(757) 471-5205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006102
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178692
—
VA
Enumeration date
08/01/2006
Last updated
11/28/2011
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