Organization
ULTRA ENDODONTICS, LLC
Active
Other names
Ultra Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE OLTRA ESPLUGUES DDS, MSD (OWNER/ENDODONTIST)
(757) 250-5285
Entity
Organization
Contact information
Practice address
7198 CHAPMAN DR, SUITE 7, HAYES, VA 23072-3416
(757) 250-5285
Mailing address
1092 BLUE CASTLE LN, VIRGINIA BEACH, VA 23454-1939
(206) 335-4494
(757) 315-8180
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401414309
VA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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