Individual
DR. KRISTEN ELIZABETH MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1169 NIMMO PKWY STE 242, VIRGINIA BEACH, VA 23456-7760
(703) 855-8192
Mailing address
1169 NIMMO PKWY STE 242, VIRGINIA BEACH, VA 23456-7760
(703) 855-8192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414814
VA
1223G0001X
General Practice Dentistry
4007
WV
Other
Enumeration date
04/27/2011
Last updated
07/08/2020
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