Organization
SAMUELS MOBILE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC SCOTT SAMUELS DMD (PRESIDENT)
(504) 905-1394
Entity
Organization
Contact information
Practice address
1164 MILLERS LN, VIRGINIA BEACH, VA 23451-5716
(948) 203-9545
Mailing address
155 RIDGELEY CIR, NORFOLK, VA 23505-4609
(504) 905-1394
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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