Organization
RESTORE DENTAL CENTER OF HAMPTON ROADS
Active
Parent organization
AUGUST HOLDING CORPORATION
Other names
ReStore Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUGUST HOLDING CORPORATION
Authorized official
MR. SHANE AUGUST (PRESIDENT)
(757) 490-7866
Entity
Organization
Contact information
Practice address
223 E CITY HALL AVE, NORFOLK, VA 23510-1724
(757) 490-7866
Mailing address
1 COLUMBUS CTR STE 600, VIRGINIA BEACH, VA 23462-6760
(757) 490-7866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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