Organization
FAMILY DENTAL OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHLOE DECOSTER (SENIOR MANAGER)
(312) 274-4529
Entity
Organization
Contact information
Practice address
2040 COLISEUM DR, STE. A27, HAMPTON, VA 23666-3200
(757) 262-0020
Mailing address
2040 COLISEUM DR, STE. A27, HAMPTON, VA 23666-3200
(757) 262-0020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
02/10/2025
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