STEPHEN SHIMP

NORFOLK, ZZ
NPI1699389312
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  9111145)
Enumeration Date2020-09-01
Last Update Date2020-09-01
Business Address
STEPHEN SHIMP
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, ZZ
Phone number: 317-529-4292
Mailing Address
STEPHEN SHIMP
304 28TH ST UNIT 307
VIRGINIA BEACH, VA 23451-3056
Phone number: