Cd Virginia Dental, P.c.
NPI #1972149789 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1972149789
- Entity Type
- Organization
- Organization Name
- Cd Virginia Dental, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 27, 2019
- Last Updated
- Mar 7, 2024
Practice Location
- Address
- 836 FIRST COLONIAL RD
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23451-6126
- Phone
- (757) 428-8747
Authorized Official
- Name
- TY JUSTICE
- Title
- DIRECTOR, PAYER RELATIONS
- Phone
- (513) 808-4984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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