Organization
DRS BUSSEY MAYO & ARCHER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANDALE MARIE GREGORY (BILLING FINANCIAL COORDINATOR)
(757) 486-5155
Entity
Organization
Contact information
Practice address
477 VIKING DRIVE, STE #215, VIRGINIA BEACH, VA 23452
(757) 486-5428
(757) 486-4826
Mailing address
477 VIKING DRIVE, STE #215, VIRGINIA BEACH, VA 23452
(757) 486-5428
(757) 486-4826
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401004066
VA
1223E0200X
Endodontics
0401006323
VA
1223E0200X
Endodontics
0401410052
VA
Other
Enumeration date
10/05/2006
Last updated
09/14/2007
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