Florida Enhanced Dental Services INC
NPI #1124106166 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1124106166
- Entity Type
- Organization
- Organization Name
- Florida Enhanced Dental Services INC
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1301 FIRST COLONIAL BLVD
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23454
- Phone
- (757) 463-1500
Authorized Official
- Name
- DR. JEFFREY R LEIDY, DMD
- Title
- PRESIDENT OWNER
- Phone
- (757) 463-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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