Individual
DR. SHANTALA GOWDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
397 LITTLE NECK RD, BLDG. 3400 STE. 101, VIRGINIA BEACH, VA 23452-5765
(757) 498-5142
(757) 498-3710
Mailing address
397 LITTLE NECK ROAD, B LDG. 3400 STE. 101, VIRGINIA BEACH, VA 23452
(757) 498-5142
(757) 498-3710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
VA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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