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1366909046
LEISURE DENTAL
NORFOLK, VA
NPI
1366909046
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Entity Type
Organization
Authorized Contact
BRUCE HAGGERTY
Owner/Dentist
214-991-5166
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-02-28
Last Update Date
2019-02-28
Business Address
LEISURE DENTAL
7870 TIDEWATER DR UNIT 202-203
NORFOLK, VA 23505-3713
Phone number: 757-222-3880
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Mailing Address
LEISURE DENTAL
4316 HILLINGDON BND APT 102
CHESAPEAKE, VA 23321-2458
Phone number: 214-991-5166
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