Organization
WALKER W. SHIVAR, D.D.S. ANTHONY R. PELUSO, D.D.S. HOLLY H. ANDERSEN,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN E KIRCHEVAL (PRACTICE ADMINISTRATOR)
(757) 420-4035
Entity
Organization
Contact information
Practice address
302 E LITTLE CREEK RD, SUITE 300, NORFOLK, VA 23505-2603
(757) 424-5308
(757) 424-1708
Mailing address
302 E LITTLE CREEK RD, SUITE 300, NORFOLK, VA 23505-2603
(757) 424-5308
(757) 424-1708
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5426
VA
Other
Enumeration date
05/03/2007
Last updated
06/24/2011
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