Kool Smiles Van, Pc

NPI 1275620866 - Dentist - 1223E0200X

NPI Details
NPI 1275620866
Enumeration Date 10/06/2006
Last Updated 12/19/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TU TU
Position PRESIDENT
Phone (757) 465-3834
Fax (757) 465-3835
Practice Location
4072 VICTORY BLVD.
PORTSMOUTH VA, 23701, US
Phone (757) 465-3834
Fax (757) 465-3835
Business Location
1090 NORTHCHASE PKWY SE STE 150
MARIETTA GA, 30067-6407, US
Phone (770) 916-5028
Fax (678) 247-7858
Toxanomy
Taxonomy Code 1223E0200X
License State
License Number
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According to our database, Kool Smiles Van, Pc NPI is 1275620866, taxonomy code is 1223E0200X Kool Smiles Van, Pc physically located at 4072 Victory Blvd., Portsmouth VA, 23701. NPI Number 1033115704 has the healthcare provider type.

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1275620866 NPI number is provided on an as is basis without warranty of any kind. 1275620866 is maintained by the National Plan & Provider Enumeration System. The contents of Kool Smiles Van, Pc are for informational purposes only.