Virginia M Mitchell DDS P C

NPI #1346780582 in Centereach, New York

Provider Information

NPI Number: 1346780582
Entity Type: Organization
Organization Name: Virginia M Mitchell DDS P C
Primary Specialty: Dentist
Enumeration Date: Mar 7, 2017
Last Updated: Mar 7, 2017

Practice Location

Address: 14 MARKET ST
City: Centereach
State: New York
ZIP Code: 11720-2246
Phone: (631) 588-8890

Authorized Official

Name: DR. VIRGINIA M. MITCHELL, D.D.S.
Title: DENTIST/OWNER
Phone: (631) 588-8890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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