Individual
FRED COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
116 TERN CT, YORKTOWN, VA 23692-2988
(757) 890-9709
Mailing address
116 TERN CT, YORKTOWN, VA 23692-2988
(757) 890-9709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006088
VA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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