Organization
VIRGINIA BEACH FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA MEDINA (OFFICE MANAGER)
(757) 451-7003
Entity
Organization
Contact information
Practice address
1658 PLEASURE HOUSE RD STE 106, VIRGINIA BEACH, VA 23455-4051
(757) 383-8970
Mailing address
1658 PLEASURE HOUSE RD STE 106, VIRGINIA BEACH, VA 23455-4051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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