Coliseum Pediatric Dentistry Pllc
NPI #1467771766 in Hampton, Virginia
Provider Information
- NPI Number
- 1467771766
- Entity Type
- Organization
- Organization Name
- Coliseum Pediatric Dentistry Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 26, 2010
- Last Updated
- May 29, 2019
Practice Location
Authorized Official
- Name
- GRACE O DAVIS
- Title
- BUSINESS ADMINISTRATOR
- Phone
- (757) 369-1754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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