Organization
THE FOLECK CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATJANA MANOJLOVIC (CEO)
(757) 623-0283
Entity
Organization
Contact information
Practice address
201 COLLEGE PLACE, #111, NORFOLK, VA 23510
(757) 623-0283
(757) 623-0339
Mailing address
201 COLLEGE PLACE, #111, NORFOLK, VA 23510
(757) 623-0283
(757) 623-0339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008873
VA
1223G0001X
General Practice Dentistry
0401412033
VA
1223G0001X
General Practice Dentistry
0401412834
VA
1223G0001X
General Practice Dentistry
0401413140
VA
Other
Enumeration date
06/06/2012
Last updated
05/13/2016
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