Individual
DR. ALEXIS NICOLE PHAUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2004 SANDBRIDGE RD, SUITE 100, VIRGINIA BEACH, VA 23456-4084
(757) 427-2212
Mailing address
1121 AMERICUS AVE, VIRGINIA BEACH, VA 23451-5511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413593
VA
Other
Enumeration date
06/05/2012
Last updated
04/29/2014
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