Va Beach Dental, Pllc
NPI #1962211128 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1962211128
- Entity Type
- Organization
- Organization Name
- Va Beach Dental, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 2, 2025
- Last Updated
- Jan 2, 2025
Practice Location
- Address
- 4625 VIRGINIA BEACH BLVD STE 101A
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23462-7789
- Phone
- (757) 807-2137
Authorized Official
- Name
- CHRISTINE BARBER
- Title
- PROVIDER ENROLLMENT TEAM LEAD
- Phone
- (315) 454-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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