Organization
DENTAL SERVICES SE VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARTER LEE RICHARDS DDS (PRESIDENT)
(757) 749-9043
Entity
Organization
Contact information
Practice address
780 LYNNHAVEN PARKWAY, SUITE 220, VIRGINIA BEACH, VA 23452
(757) 486-4529
Mailing address
780 LYNNHAVEN PKWY STE 220, VIRGINIA BEACH, VA 23452-7332
(757) 486-4529
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401008839
VA
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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