Organization
THE FOLECK CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANJA MANOJLOVIC (PRACTICE ADMINISTRATOR)
(757) 838-8411
Entity
Organization
Contact information
Practice address
2400 CUNNINGHAM DR, SUITE 100, HAMPTON, VA 23666-6500
(757) 838-8411
(757) 826-0480
Mailing address
2400 CUNNINGHAM DR, SUITE 100, HAMPTON, VA 23666-6500
(757) 838-8411
(757) 826-0480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008873
VA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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