Jack Mavromatis Dds, Ltd.
NPI #1134273683 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1134273683
- Entity Type
- Organization
- Organization Name
- Jack Mavromatis Dds, Ltd.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Apr 30, 2012
Practice Location
- Address
- 2248 SUNSTATES CT STE 103
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23451-1553
- Phone
- (757) 496-9123
Authorized Official
- Name
- JACK MAVROMATIS JR., DDS
- Title
- OWNER DENTIST
- Phone
- (757) 496-9123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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