Peninsula Periodontics and Implants Pllc

NPI #1578247094 in Hampton, Virginia

Provider Information

NPI Number
1578247094
Entity Type
Organization
Organization Name
Peninsula Periodontics and Implants Pllc
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jun 14, 2023
Last Updated
Jun 14, 2023

Practice Location

Address
1194 BIG BETHEL RD STE B
ZIP Code
23666-1906
Phone
(757) 850-2100

Authorized Official

Name
MS. CELESTE VAUGHN
Title
EXECUTIVE ASSISTANT
Phone
(757) 258-7778

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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