Organization
MORRISON DENTAL GROUP EAST BEACH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE VAUGHN (EXECUTIVE ASSISTANT)
(757) 258-7778
Entity
Organization
Contact information
Practice address
4520 PRETTY LAKE AVE, NORFOLK, VA 23518-1826
(757) 362-0600
Mailing address
7151 RICHMOND RD STE 305, WILLIAMSBURG, VA 23188-7234
(757) 258-7778
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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