Organization
ISLE OF WIGHT FAMILY AND COSMETIC DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER F HOWARD D.D.S. (PRESIDENT)
(757) 356-1212
Entity
Organization
Contact information
Practice address
200 GUMWOOD DR., BUILDING 1, SMITHFIELD, VA 23430-1103
(757) 356-1212
Mailing address
200 GUMWOOD DR., BUILDING 1, SMITHFIELD, VA 23430-1103
(757) 356-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411511
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113284
—
VA
Enumeration date
03/24/2008
Last updated
03/24/2008
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