Konikoff Dental

NPI #1285032995 in Virginia Beach, Virginia

Provider Information

NPI Number: 1285032995
Entity Type: Organization
Organization Name: Konikoff Dental
Primary Specialty: Dentist
Enumeration Date: Dec 11, 2014
Last Updated: Dec 11, 2014

Practice Location

Address: 2100 LYNNHAVEN PKWY
Address 2: SUITE #100
City: Virginia Beach
State: Virginia
ZIP Code: 23456-1492
Phone: (757) 416-1400

Authorized Official

Name: MRS. TAMI E. SMITH
Title: OFFICE MANAGER
Phone: (757) 416-3342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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