Organization
CHESAPEAKE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSAMA S MODJADIDI DMD (OWNER)
(757) 548-5619
Entity
Organization
Contact information
Practice address
113 GAINSBOROUGH SQ, SUITE 101, CHESAPEAKE, VA 23320-1713
(757) 548-5619
(757) 548-6930
Mailing address
113 GAINSBOROUGH SQ, SUITE 101, CHESAPEAKE, VA 23320-1713
(757) 548-6930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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