Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Other names
Independence Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Authorized official
CARMEN WOODS (INSURANCE COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
4530 PROFESSIONAL CIR, MORRISON ROAD, SUITE A, VIRGINIA BEACH, VA 23455-6441
(757) 499-0567
Mailing address
4530 PROFESSIONAL CIR, MORRISON ROAD, SUITE A, VIRGINIA BEACH, VA 23455-6441
(757) 499-0567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
01/11/2014
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