Individual
DR. BRYAN M KONIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
477 VIKING DR, SUITE 190, VIRGINIA BEACH, VA 23452-7349
(757) 486-8181
(757) 463-0148
Mailing address
477 VIKING DR, SUITE 190, VIRGINIA BEACH, VA 23452-7349
(757) 486-8181
(757) 463-0148
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401410766
VA
Other
Enumeration date
07/26/2006
Last updated
09/06/2007
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