Organization
KONIKOFF PERIODONTICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY PRICE (OFFICE MANAGER)
(757) 486-8181
Entity
Organization
Contact information
Practice address
477 VIKING DR STE 190, VIRGINIA BEACH, VA 23452-7354
(757) 486-8181
(757) 463-0148
Mailing address
477 VIKING DR STE 190, VIRGINIA BEACH, VA 23452-7354
(757) 486-8181
(757) 463-0148
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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