Individual
DR. CODY ALLEN MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(757) 953-8592
Mailing address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(757) 953-8592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419156
VA
Other
Enumeration date
03/06/2023
Last updated
11/20/2024
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