Individual
DR. ALEXIS LEE PINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2040 COLISEUM DR, HAMPTON, VA 23666-3200
(757) 280-4700
Mailing address
37337 CHARTER OAKS BLVD, CLINTON TWP, MI 48036-4433
(586) 808-4666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417520
VA
Other
Enumeration date
04/30/2021
Last updated
06/30/2021
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