Organization
KONIKOFF FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN E KONIKOFF DDS (PRESIDENT)
(757) 583-1535
Entity
Organization
Contact information
Practice address
7400 GRANBY ST, NORFOLK, VA 23505-3436
(757) 583-1535
(757) 480-1889
Mailing address
7400 GRANBY ST, NORFOLK, VA 23505-3436
(757) 583-1535
(757) 480-1889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004880
VA
Other
Enumeration date
01/02/2007
Last updated
09/26/2023
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