The Center for Restorative Cosmetic & Implant Dentistry

NPI #1740320241 in Va Beach, Virginia

Provider Information

NPI Number: 1740320241
Entity Type: Organization
Organization Name: The Center for Restorative Cosmetic & Implant Dentistry
Primary Specialty: Dentist
Enumeration Date: Feb 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 303 35TH ST
Address 2: #103
City: Va Beach
State: Virginia
ZIP Code: 23451
Phone: (757) 425-2332

Authorized Official

Name: MRS. BRENDA LYON SHAUGHNESSY
Title: OFFICE MANAGER
Phone: (757) 425-2332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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