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1598954091
STEPHEN MICHAEL WADE
PORTSMOUTH, VA
NPI
1598954091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: PA DS037166)
Enumeration Date
2007-10-19
Last Update Date
2007-10-19
Business Address
Dr. STEPHEN MICHAEL WADE DMD
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-4713
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Mailing Address
Dr. STEPHEN MICHAEL WADE DMD
850 CRAWFORD PKWY APT.# 4301
PORTSMOUTH, VA 23704-2304
Phone number: 757-953-4713
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