Organization
THE FOLECK CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANJA MANOJLOVIC (PRACTICE ADMINISTRATOR)
(757) 495-4700
Entity
Organization
Contact information
Practice address
855 KEMPSVILLE RD, VIRGINIA BEACH, VA 23464-2708
(757) 495-4700
(757) 495-3432
Mailing address
855 KEMPSVILLE RD, VIRGINIA BEACH, VA 23464-2708
(757) 495-4700
(757) 495-3432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008873
VA
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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