Individual
MISS SAMANTHA CLARA VEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSDH, RDH
Contact information
Practice address
1658 PLEASURE HOUSE RD, VIRGINIA BEACH, VA 23455-4051
(757) 464-1964
Mailing address
140 W BAYVIEW BLVD, NORFOLK, VA 23503-4745
(302) 745-2844
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402207874
VA
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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