Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Other names
Port Warwick Dental Arts
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
251 NAT TURNER BLVD S, NEWPORT NEWS, VA 23606-3076
(757) 223-9270
Mailing address
251 NAT TURNER BLVD S, NEWPORT NEWS, VA 23606-3076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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