Organization
PENINSULA PERIODONTICS AND IMPLANTS PLLC
Active
Other names
Atlantic Periodontics & Implants
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CELESTE VAUGHN (EXECUTIVE ASSISTANT)
(757) 258-7778
Entity
Organization
Contact information
Practice address
1194 BIG BETHEL RD STE B, HAMPTON, VA 23666-1906
(757) 850-2100
Mailing address
7151 RICHMOND RD STE 305, WILLIAMSBURG, VA 23188-7234
(757) 258-7778
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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