Organization
VI COSMETIC DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARISA MADURO (PRACTICE MANAGER)
(340) 777-5950
Entity
Organization
Contact information
Practice address
9149 ESTATE THOMAS STE 201, ST THOMAS, VI 00802-3132
(340) 777-5950
(407) 386-7222
Mailing address
9149 ESTATE THOMAS STE 201, ST THOMAS, VI 00802-3132
(340) 777-5950
(407) 386-7222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
VI
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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