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Organization

MONLEUDY KEO BRACKEN, DDS, PLLC

Active
Other names
Vibrant Smile Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA DOUGLASS (OFFICE MANAGER)
(757) 466-1700
Entity
Organization

Contact information

Practice address
5715 SELLGER DR, NORFOLK, VA 23502-5239
(757) 466-1700
(757) 416-6850
Mailing address
5715 SELLGER DR, NORFOLK, VA 23502-5239
(757) 466-1700
(757) 416-6850

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412950
VA

Other

Enumeration date
05/02/2018
Last updated
05/02/2018
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