Organization
FAMILY DENTAL OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHLOE DECOSTER (SENIOR MANAGER)
(312) 274-4529
Entity
Organization
Contact information
Practice address
2704 N MALL DR STE 105, VIRGINIA BEACH, VA 23452-7219
(312) 274-4529
Mailing address
2704 N MALL DR STE 105, VIRGINIA BEACH, VA 23452-7219
(312) 274-4529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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