Organization
MICHAEL J. KOKORELIS, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. KOKORELIS DMD (PRESIDENT)
(757) 827-1572
Entity
Organization
Contact information
Practice address
2113 HARTFORD RD, HAMPTON, VA 23666-2575
(757) 827-1572
(757) 827-8895
Mailing address
2113 HARTFORD RD, HAMPTON, VA 23666-2575
(757) 827-1572
(757) 827-8895
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401005924
VA
Other
Enumeration date
04/26/2007
Last updated
06/16/2008
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