Individual
DR. COREY MAVROMATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2248 SUNSTATES CT STE 103, VIRGINIA BEACH, VA 23451-1553
(757) 496-9123
Mailing address
152 SPRING ST APT D, CHARLESTON, SC 29403-5677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418210
VA
Other
Enumeration date
03/28/2022
Last updated
08/07/2023
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