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1508124462
JACK MAVROMATIS
VIRGINIA BEACH, VA
NPI
1508124462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401006411)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
-- JACK MAVROMATIS D.D.S.
2248 SUNSTATES CT SUITE 103
VIRGINIA BEACH, VA 23451-1553
Phone number: 757-496-9123
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Mailing Address
-- JACK MAVROMATIS D.D.S.
2248 SUNSTATES CT SUITE 103
VIRGINIA BEACH, VA 23451-1553
Phone number: 757-496-9123
Copy
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