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1043360290
GRACE MAMARIAN PENTECOST
NORFOLK, VA
NPI
1043360290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: VA 0401008924)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
GRACE MAMARIAN PENTECOST D.D.S.
5715 SELLGER DR
NORFOLK, VA 23502-5239
Phone number: 757-466-1700
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Mailing Address
GRACE MAMARIAN PENTECOST D.D.S.
5715 SELLGER DR
NORFOLK, VA 23502-5239
Phone number: 757-466-1700
Copy
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