Grace Mamarian Pentecost D.D.S.

NPI 1043360290 - Dentist - 1223G0001X

NPI Details
NPI 1043360290
Gender Female
Enumeration Date 01/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5715 SELLGER DR
NORFOLK VA, 23502-5239, US
Phone (757) 466-1700
Fax (757) 461-0383
Business Location
5715 SELLGER DR
NORFOLK VA, 23502-5239, US
Phone (757) 466-1700
Fax (757) 461-0383
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401008924
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According to our database, Grace Mamarian Pentecost D.D.S. NPI is 1043360290, taxonomy code is 1223G0001X and license number is 0401008924, license state is located at Virginia. Grace Mamarian Pentecost D.D.S. physically located at 5715 Sellger Dr, Norfolk VA, 23502-5239. NPI Number Grace Mamarian Pentecost D.D.S. has the Individual type.

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1043360290 NPI number is provided on an as is basis without warranty of any kind. 1043360290 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Mamarian Pentecost D.D.S. are for informational purposes only.