Kenneth J. Cavallari, Dds, PC
NPI #1164305421 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1164305421
- Entity Type
- Organization
- Organization Name
- Kenneth J. Cavallari, Dds, PC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jul 25, 2025
- Last Updated
- Jul 25, 2025
Practice Location
- Address
- 984 FIRST COLONIAL RD STE 300
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23454-3196
- Phone
- (757) 412-0235
Authorized Official
- Name
- JENNY GARCIA-ROCHA
- Title
- SR CREDENTIALING TEAM LEAD
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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