Konikoff Dental Associates, Inc.

NPI 1063570968 - Dentist - 1223G0001X

NPI Details
NPI 1063570968
Enumeration Date 12/04/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAULINE PAULINE
Position CEO
Phone (757) 416-1800
Fax (757) 416-9276
Practice Location
2100 LYNNHAVEN PKWY
SUITE 100
VIRGINIA BEACH VA, 23456-1492, US
Phone (757) 416-1800
Fax (757) 416-9276
Business Location
2100 LYNNHAVEN PKWY
SUITE 100
VIRGINIA BEACH VA, 23456-1492, US
Phone (757) 416-1800
Fax (757) 416-9276
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number =========
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According to our database, Konikoff Dental Associates, Inc. NPI is 1063570968, taxonomy code is 1223G0001X and license number is =========, license state is located at Virginia. Konikoff Dental Associates, Inc. physically located at 2100 Lynnhaven Pkwy, Virginia Beach VA, 23456-1492. NPI Number 1033115704 has the healthcare provider type.

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1063570968 NPI number is provided on an as is basis without warranty of any kind. 1063570968 is maintained by the National Plan & Provider Enumeration System. The contents of Konikoff Dental Associates, Inc. are for informational purposes only.