Individual
HEATHER JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3933 BONNEY RD, VIRGINIA BEACH, VA 23452-2445
(757) 631-9700
Mailing address
805 9TH ST, VIRGINIA BEACH, VA 23451-4503
(330) 603-6027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414399
VA
Other
Enumeration date
04/14/2013
Last updated
07/14/2014
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