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1386479152
JOSEPH MCKOY LAMANTIA
NORFOLK, ZZ
NPI
1386479152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401419060)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
JOSEPH MCKOY LAMANTIA
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, ZZ
Phone number: 757-953-8635
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Mailing Address
JOSEPH MCKOY LAMANTIA
4 CONSTITUTION DR APT 541
VIRGINIA BEACH, VA 23462-3468
Phone number:
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