Organization
SMITHFIELD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA FULLER (INSURANCE MANAGER)
(757) 357-6779
Entity
Organization
Contact information
Practice address
12746 COURTHOUSE HWY, SMITHFIELD, VA 23430-7117
(757) 357-6779
(757) 357-2722
Mailing address
12746 COURTHOUSE HWY, SMITHFIELD, VA 23430-7117
(757) 357-6779
(757) 357-2722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA6344
VA
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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