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1689942377
FAMILY DENTAL OF VIRGINIA, LLC
HAMPTON, VA
NPI
1689942377
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Entity Type
Organization
Authorized Contact
TROY KLUCK
Compliance Director
920-838-1649
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2011-12-08
Last Update Date
2011-12-08
Business Address
FAMILY DENTAL OF VIRGINIA, LLC
2040 COLISEUM DR STE. A27
HAMPTON, VA 23666-3200
Phone number: 757-262-0020
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Mailing Address
FAMILY DENTAL OF VIRGINIA, LLC
2040 COLISEUM DR STE. A27
HAMPTON, VA 23666-3200
Phone number: 757-262-0020
Copy
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