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Individual

DR. KRISTA WOODLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2401 SEABOARD RD STE 106, VIRGINIA BEACH, VA 23456-3500
(757) 427-9449
(757) 301-7542
Mailing address
2401 SEABOARD RD STE 106, VIRGINIA BEACH, VA 23456-3500
(757) 427-9449
(757) 301-7542

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410599
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9182574
VA
Enumeration date
04/23/2007
Last updated
07/08/2007
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