Organization
HERIFORD AND HERIFORD, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN HERIFORD DDS (OWNER)
(757) 539-1492
Entity
Organization
Contact information
Practice address
2003 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-1492
(757) 539-3298
Mailing address
1434 LAKE MEADE DR, SUFFOLK, VA 23434-7444
(757) 925-4879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006717
VA
1223G0001X
General Practice Dentistry
0401006896
VA
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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