Organization
MID ATLANTIC IMPLANT AND ORAL SURGERY CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PAIGE FOLCK II D.D.S. (PRESIDENT)
(757) 340-9146
Entity
Organization
Contact information
Practice address
3145 VIRGINIA BEACH BLVD, SUITE 206, VIRGINIA BEACH, VA 23452-6950
(757) 340-9146
(757) 340-2547
Mailing address
3145 VIRGINIA BEACH BLVD, SUITE 206, VIRGINIA BEACH, VA 23452-6950
(757) 340-9146
(757) 340-2547
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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