Organization
DR JEFFREY R LEIDY PC
Active
Other names
Mill Dam Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R LEIDY DMD (OWNER PRESIDENT)
(757) 463-1500
Entity
Organization
Contact information
Practice address
1301 FIRST COLONIAL BLVD, VIRGINIA BEACH, VA 23454
(757) 463-1500
(757) 463-8727
Mailing address
1301 FIRST COLONIAL BLVD, VIRGINIA BEACH, VA 23454
(757) 463-1500
(757) 463-8727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006498
VA
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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