Organization
THIMBLE SHOALS DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY D FORD (VICE PRESIDENT OF OPERATIONS)
(757) 310-6904
Entity
Organization
Contact information
Practice address
748 MCGUIRE PL, B, NEWPORT NEWS, VA 23601-1674
(757) 310-6904
(757) 327-0307
Mailing address
748 MCGUIRE PL, B, NEWPORT NEWS, VA 23601-1674
(757) 310-6904
(757) 327-0307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411261
VA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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