Organization · Type 2 NPI
Leisure Dental
Dental Clinic/Center · Norfolk, VA
NPI number
1366909046
Active
Practice location
7870 Tidewater Dr Unit 202-203
Norfolk, VA 23505-3713
Fax (757) 222-5137
Mailing address
4316 Hillingdon Bnd Apt 102
Chesapeake, VA 23321-2458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1366909046
Leisure Dental's National Provider Identifier is 1366909046, issued on Feb 28, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Norfolk, VA. The record was last updated on Feb 28, 2019.