Individual
VIVEK BUDDHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 COLISEUM DR # A27, HAMPTON, VA 23666-3200
(757) 262-0020
Mailing address
2917 LAUREL WOODS LN, HENRICO, VA 23233-1622
(707) 205-6927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417122
VA
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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