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Individual

DR. CARL P ROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2100 LYNNHAVEN PKWY, SUITE 200, VIRGINIA BEACH, VA 23456-1492
(757) 471-2900
(757) 471-3804
Mailing address
2100 LYNNHAVEN PKWY, SUITE 200, VIRGINIA BEACH, VA 23456-1492
(757) 471-2900
(757) 471-3804

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5485
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
547694
UNITED CONCORDIA
VA
Enumeration date
03/30/2010
Last updated
03/30/2010
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