Individual
PETER CERVENKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
NMRTU DAM NECK MEDICAL ANNEX, 1885 TERRIER AVE., BLDG 504, RM. 125A, VIRGINIA BEACH, VA 23461
(757) 953-9848
Mailing address
PETER CERVENKA, 4828 SEINE COURT, VIRGINIA BEACH, VA 23455
(530) 591-7813
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401416436
VA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
08/04/2009
Last updated
10/10/2023
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