Individual
JACK ALEXANDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9434 HOSPITAL AVENUE, NASSAWADOX, VA 23413
(757) 414-0400
(757) 414-0569
Mailing address
9434 HOSPITAL AVENUE, NASSAWADOX, VA 23413
(757) 414-0400
(757) 414-0569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008253
VA
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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