Individual
DR. KELLY LEIGH BUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
477 VIKING DR, SUTIE #215, VIRGINIA BEACH, VA 23452-7349
(757) 486-5428
(757) 486-4826
Mailing address
477 VIKING DR, SUTIE #215, VIRGINIA BEACH, VA 23452-7349
(757) 486-5428
(757) 486-4826
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401410052
VA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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