Individual provider · Type 1 NPI

Jack Mavromatis, DDS

General Practice Dentistry · Virginia Beach, VA

NPI number 1508124462 Active

About NPI 1508124462

Jack Mavromatis, DDS's National Provider Identifier is 1508124462, issued on Apr 30, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Virginia Beach, VA. The record was last updated on Apr 30, 2012.