Organization
KONIKOFF DENTAL SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULINE HEATH (CEO)
(757) 416-1400
Entity
Organization
Contact information
Practice address
2100 LYNNHAVEN PKWY, SUITE 200, VIRGINIA BEACH, VA 23456-1492
(757) 416-1400
(757) 282-7630
Mailing address
2100 LYNNHAVEN PKWY, SUITE 200, VIRGINIA BEACH, VA 23456-1492
(757) 416-1400
(757) 282-7630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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