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1811300460
AMY NAMSUPAK
VIRGINIA BEACH, VA
NPI
1811300460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: VA 0401415277)
Enumeration Date
2014-06-10
Last Update Date
2016-08-03
Business Address
-- AMY NAMSUPAK DDS
2100 LYNNHAVEN PKWY SUITE 200
VIRGINIA BEACH, VA 23456-1492
Phone number: 757-961-4000
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Mailing Address
-- AMY NAMSUPAK DDS
1537 WALTHAM WAY APT 201
CHESAPEAKE, VA 23320-4077
Phone number: 304-993-1616
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