Individual
ANGELA SHIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5621 TIDEWATER DR, NORFOLK, VA 23509-1442
(757) 622-3776
(757) 622-0146
Mailing address
5621 TIDEWATER DR, NORFOLK, VA 23509-1442
(757) 622-3776
(757) 622-0146
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414921
VA
Other
Enumeration date
07/06/2015
Last updated
09/30/2015
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