Organization
DENTAL ANESTHESIA SERVICES, LLC331
Active
Other names
Advanced Sedation Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEN FUTERMAN DDS (OWNER)
(757) 769-7155
Entity
Organization
Contact information
Practice address
616 VIRGINIA BEACH BLVD, #102, VIRGINIA BEACH, VA 23451
(757) 769-7155
(888) 456-0253
Mailing address
616 VIRGINIA BEACH BLVD, #102, VIRGINIA BEACH, VA 23451
(757) 769-7155
(888) 456-0253
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401411282
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234330
—
VA
Enumeration date
07/21/2011
Last updated
07/21/2011
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