Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Other names
Landstown Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Authorized official
CARMEN WOODS (CREDENTIALING COORDINATOR)
(217) 540-5141
Entity
Organization
Contact information
Practice address
1909 LANDSTOWN CENTRE WAY, SUITE 100, VIRGINIA BEACH, VA 23456-1625
(757) 301-4119
Mailing address
1909 LANDSTOWN CENTRE WAY, SUITE 100, VIRGINIA BEACH, VA 23456-1625
(757) 301-4119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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