Individual
MRS. KELLY MARIE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
520 S INDEPENDENCE BLVD STE 102, VIRGINIA BEACH, VA 23452-1152
(757) 497-4825
Mailing address
928 NORFLEET RD, VIRGINIA BEACH, VA 23464-1664
(757) 636-7016
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402206682
VA
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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