Organization
THE CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LYON SHAUGHNESSY (OFFICE MANAGER)
(757) 425-2332
Entity
Organization
Contact information
Practice address
303 35TH ST, #103, VA BEACH, VA 23451
(757) 425-2332
(757) 428-8561
Mailing address
303 35TH ST, #103, VA BEACH, VA 23451
(757) 425-2332
(757) 428-8561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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