Individual
DR. MONICA CONTRACT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1130 OLD COLONY LN, SUITE 100, WILLIAMSBURG, VA 23185-3864
(757) 220-6727
Mailing address
117 RUDDER CT, WILLIAMSBURG, VA 23185-5288
(717) 571-7581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS037870
PA
1223G0001X
General Practice Dentistry
Primary
0401412781
VA
Other
Enumeration date
06/29/2009
Last updated
09/07/2010
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