Mary Jean Sotack DDS

NPI 1194701342 - Dentist - 122300000X

NPI Details
NPI 1194701342
Gender Female
Enumeration Date 12/20/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3105 WESTERN BRANCH BLVD
SUITE 6
CHESAPEAKE VA, 23321-5540, US
Phone (757) 484-7503
Fax (757) 483-7711
Business Location
3105 WESTERN BRANCH BLVD
SUITE 6
CHESAPEAKE VA, 23321-5540, US
Phone (757) 484-7503
Fax (757) 483-7711
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 007555
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According to our database, Dr. Mary Jean Sotack DDS NPI is 1194701342, taxonomy code is 122300000X and license number is 007555, license state is located at Virginia. Mary Jean Sotack DDS physically located at 3105 Western Branch Blvd, Chesapeake VA, 23321-5540. NPI Number Mary Jean Sotack DDS has the Individual type.

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1194701342 NPI number is provided on an as is basis without warranty of any kind. 1194701342 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jean Sotack DDS are for informational purposes only.