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1801817002
MARYBETH FASANO
VIRGINIA BEACH, VA
NPI
1801817002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401008908)
Enumeration Date
2006-07-22
Last Update Date
2007-07-08
Business Address
MARYBETH FASANO DMD
984 FIRST COLONIAL RD SUITE 200
VIRGINIA BEACH, VA 23454
Phone number: 757-412-2235
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Mailing Address
MARYBETH FASANO DMD
984 FIRST COLONIAL RD SUITE 200
VIRGINIA BEACH, VA 23454
Phone number: 757-412-2235
Copy
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