Organization
LWSS FAMILY DENTISTRY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN GREENE (PRACTICE ADMINISTRATOR)
(757) 962-6769
Entity
Organization
Contact information
Practice address
2185 UPTON DR, VIRGINIA BEACH, VA 23454-1188
(757) 416-5977
Mailing address
1230 PROGRESSIVE DR, SUITE 103, CHESAPEAKE, VA 23320-0203
(757) 962-6769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017-260772-R
VA
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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