Organization · Type 2 NPI

Marybeth Fasano DMD PC

Dental Clinic/Center · Virginia Beach, VA

NPI number 1194905539 Active

Practice location

984 First Colonial Rd, Suite 200
Virginia Beach, VA 23454-3196

Call (757) 412-2235 Map

Fax (757) 412-2237

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X0401008908 (VA)

Dental Clinic/Center: Definition to come...

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About NPI 1194905539

Marybeth Fasano DMD PC's National Provider Identifier is 1194905539, issued on Nov 13, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Virginia Beach, VA. The record was last updated on Nov 13, 2007.