Hq US Army Dental Activities

NPI #1134504574 in Newport News, Virginia

Provider Information

NPI Number
1134504574
Entity Type
Organization
Organization Name
Hq US Army Dental Activities
Primary Specialty
Dentist
Enumeration Date
Jul 28, 2015
Last Updated
Aug 13, 2015

Practice Location

Address
577 STERNBURG AVENUE
ZIP Code
23604-5311
Phone
(757) 314-7944

Authorized Official

Name
ANGELA COLUCCI
Title
CREDENTIALS COORDINATOR
Phone
(757) 314-7944

Specialties & Taxonomy Codes

Specialty
Dentist

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