Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Other names
LWSS Family Dentistry - Virginia Beach - Kempsville Rd. Ortho
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
904 KEMPSVILLE RD STE 105, VIRGINIA BEACH, VA 23464-5571
(757) 963-0059
Mailing address
904 KEMPSVILLE RD STE 105, VIRGINIA BEACH, VA 23464-5571
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
03/03/2022
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