Holley Family Dentistry Of Virginia Beach

NPI 1417385931 - Dentist - 122300000X

NPI Details
NPI 1417385931
Enumeration Date 10/18/2013
Last Updated 10/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WANDA MICHELLE WANDA
Position OFFICE MGR
Phone (757) 425-1155
Fax (757) 428-1188
Practice Location
940 GENERAL BOOTH BLVD
SUITE C
VIRGINIA BEACH VA, 23451, US
Phone (757) 425-1155
Fax (757) 428-1188
Business Location
940 GENERAL BOOTH BLVD
SUITE C
VIRGINIA BEACH VA, 23451, US
Phone
Fax (757) 428-1188
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 0401007431
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According to our database, Holley Family Dentistry Of Virginia Beach NPI is 1417385931, taxonomy code is 122300000X and license number is 0401007431, license state is located at Virginia. Holley Family Dentistry Of Virginia Beach physically located at 940 General Booth Blvd, Virginia Beach VA, 23451. NPI Number 1033115704 has the healthcare provider type.

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1417385931 NPI number is provided on an as is basis without warranty of any kind. 1417385931 is maintained by the National Plan & Provider Enumeration System. The contents of Holley Family Dentistry Of Virginia Beach are for informational purposes only.